Registered Nurse-Call Center Executive at MetroHealth HMO Limited

Job Overview

Location
Lagos, Lagos
Job Type
Full Time
Date Posted
11 months ago

Additional Details

Job ID
122004
Job Views
112

Job Description






This is a full-time hybrid role for a Call Center Executive at MetroHealthHMO. The Call Center Executive will be responsible for the following:



Receive calls from Clients, Providers and Staff




  • Receives calls from enrollees and prospects

  • Responds to clients within approved timeline

  • Responds appropriately to situations in accordance with standard care metrics

  • Give pre-authorization to care

  • Understand the use of IT application for customer care correspondence (CC Metrics)

  • Use the CC Metrics optimally

  • Escalates for update of provider directory and hospital details when received from providers

  • Escalates information received to appropriate office

  • Educate requesting call-in clients on MetroHealth products

  • Co-manage care escalated from providers and clients till resolution

  • Manages provider grievance emanating from MetroHealth operations

  • Improve turnaround time for pre-authorization issuance

  • Provision of PA report to relevant offi 

  • Any other task as assigned by HOD



Qualification




  • BSc, BA in relevant fields

  • Minimum of 1 year experience as a call centre agent.

  • HMO experience is an added advantag.

  • Excellent verbal and written communication skills

  • Customer Care

  • Nursing background is a must





 



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