Vacancies at Total Health Trust Limited (THT) for Branch Agents (Medical)

⏲ Sep 8, 2017, 6:40 PM
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Total Health Trust Limited (THT), Nigeria’s leading Health Maintenance Organization (HMO) was founded in 1997 and commenced operations in June 1998. Renowned by our stakeholders for our reliability, we have been connecting our members to healthcare providers since 1998. Our unrivalled 18 years industry track record has seen us build a formidable reputation in Nigeria and we remain the HMO of choice for over 300,000 members and over 500 corporate clients and government institutions. We are recruiting to fill the position of: Job Title: Branch Agent (Medical) Location: Kaduna Job Description

To manage specific cases in the branch in order to get the best outcome
To facilitate the process of pre-authorisations and authorisations between the provider and the scheme and to give feedback to the relevant party concerned
To facilitate the investigation of potential fraudulent claims within the specific branch and provide feedback to the Branch manager
Hospital visits regarding specific branch cases
To 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
To adhere to and live the organizational values
To facilitate resolution of all queries from providers and members within the branch on specific cases and within the agreed SLA
Following Head Office approval, to ensure a successful provider forum is held as stipulated
To ensure provider education is done and ensure product knowledge and processes are understood towards seamless service delivery to enrollees

Requirements

Candidate must be a registered nurse
B.Sc. Nursing and additional medical qualification will be an added advantag
Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes, and Scheme Rules.
Excellent organizational, communication (verbal and written), listening skills and attention to detail.
Candidate must be very proficient in Microsoft office packages
Candidate must have minimum of 3 years medical experience including 2 years in similar role in an Health Maintenance Organization (HMO)

Other Requirements: