Branch Agent at Total Health Trust Limited (THT),
Employment Nigeria
16-Sep-2017
EDO , BENIN ,
Health
Total Health Trust Limited (THT), a leading Health Maintenance Organization (HMO) is recruiting to fill the position below:
POSITION : Branch Agent (Medical)
Description
- Hospital visits regarding specific branch cases
- Provide services in the accreditation and re-accreditation of branch providers to ensure that provider facilities and services are up to standard as per the agreed standards using a standardized checklist
- Adhere to and live the organizational values
- Following Head Office approval, to ensure a successful provider forum is held as stipulated
- Manage specific cases in the branch in order to get the best outcome
- Facilitate the process of pre-authorisations and authorisations between the provider and the scheme and to give feedback to the relevant party concerned
- Facilitate resolution of all queries from providers and members within the branch on specific cases and within the agreed SLA
- Facilitate the investigation of potential fraudulent claims within the specific branch and provide feedback to the Branch manager
- Ensure provider education is done and ensure product knowledge and processes are understood towards seamless service delivery to enrollees
Requirements
- A minimum of 3 years medical experience including 2 years in similar role in an Health Maintenance Organization (HMO)
- Must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes, and Scheme Rules.
- Must be a registered nurse and midwife
- B.Sc Nursing and additional medical qualification will be an added advantage
- Excellent organizational, communication (verbal and written), listening skills and attention to detail.
- Candidate must be very proficient in Microsoft office packages
Others:
- Decision Making skill and Excellent
- Customer Service Skill
- Integrity
- Ability to work under pressure
- Adaptive, expertise, Result-Oriented, Relationship Skill
- Working with people
- Good organizational and planning capabilities
- Innovative and quick thinking capabilities
- Adaptive
- Interpersonal Skill
- Must be a good collaborator/Team player.
Sorry the application deadline for this job has elapsed
