THT helps make healthcare work in Nigeria. We enable our customers to access affordable, reliable healthcare and we support healthcare providers in their efforts to deliver it. We manage healthcare so that our customers and our partners can thrive.
THT is one of Nigeria’s pioneer Health Management Organisations (HMOs), renowned by our stakeholders f...
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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
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
Candidate must be a registered nurse and midwife
B.Sc Nursing and additional medical qualification will be an added advantage
Candidate must have minimum of 3 years medical experience including 2 years in similar role in an Health Maintenance Organization (HMO)
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
Good organizational and planning capabilities
Innovative and quick thinking capabilities
Decision Making skill and Excellent Customer Service Skill