Enrollee Relations Officer at Revolutionary Health Maintenance Organization (RevoHealth)

Summary Job description
Note 1

• To manage enrollee relationships by ensuring seamless healthcare access, handling enquiries and complaints, and supporting registration processes to drive high client satisfaction, loyalty, and to guarantee optimal client satisfaction and retention
• Manage enrollee inquiries and support by serving as the primary point of contact for assigned enrollees while providing personalized guidance on utilizing their health plans effectively.
• Engage clients and improve retention.
• Build trust and rapport with enrollees through regular check-ins and tailored support.
• Coordinate access to healthcare services and ensuring enrollees do not face delays at hospitals by coordinating with the medical team.
• Handle complaints and escalations
• Act as a bridge between the enrollee, the hospital and internal departments to clear operational bottlenecks
• Maintain accurate records by keeping detailed and updated profiles of enrollee interactions, claims history, and feedback within the central database
• Propose actionable process improvements to management
• Ensure seamless service delivery across enrollee touchpoints
• Identify opportunities for service improvement

Requirements

• Education: B.Sc / HND Social Science or Health-related course preferred
• Experience: 2–3 years experience in HMO operations, enrolee management or customer service role.