REGISTERED NURSE- CALL CENTER EXECUTIVE AT METROHEALTH HMO LIMITED

About Company:

MetroHealth HMO is a health maintenance organizationproviding health insurance services to individuals, family, groups and companies.

Job Description:

• This is a full-time hybrid role for a Call Center Executive at MetroHealthHMO.

Requirements:

The Call Center Executivewill be responsible for the following:

• Receive calls from Clients, Providers and Staff
• Receives calls from enrollees
• 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
• Any other task as assigned by HOD

Qualifications and Skills:

• BSc, BA in relevant fields
• Minimum of 1 year experience as a call centre professional.
• Hmo experience is an added advantage
• Excellent verbal and written communication skills
• Customer Care
• Nursing background is a must

Salary

Application Closing Date: 30th April, 2025

Company Website

Application Instructions:

Interested and qualified candidates should send their CVs to: aoseji@metrohealthhmo.com using the job title as the subject of the mail.