Nurse Intern at Total Health Trust Ltd

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 resolution of all queries from providers and members within the branch on specific cases and within the agreed SLA
• 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
• 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 fresh registered nurse

Other requirements:

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