Branch Agents at Total Health Trust Limited (THT)

 Employment Nigeria 23-Sep-2017 KADUNA , Medical  

Total Health Trust Limited (THT), a leading Health Maintenance Organization (HMO) with 18 years industry track record. We are recruiting to fill the position below :

POSITION : Branch Agent (Medical)

RESPONSIBILITIES

  • 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
  • Ensure provider education is done and ensure product knowledge and processes are understood towards seamless service delivery to enrollees
  • 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
  • Hospital visits regarding specific branch cases

Requirements

  • B.Sc. Nursing and additional medical qualification will be an added advantage
  • 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
  • Excellent organizational, communication (verbal and written), listening skills and attention to detail.
  • Candidate must be very proficient in Microsoft office packages

Others:

  • Ability to work under pressure
  • Adaptive, expertise, Result-Oriented, Relationship Skill
  • Working with people
  • Interpersonal Skill
  • Must be a good collaborator/Team player
  • Good organizational and planning capabilities
  • Innovative and quick thinking capabilities
  • Adaptive
  • Decision Making skill and Excellent Customer Service Skill
  • Integrity


Sorry the application deadline for this job has elapsed



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