Registered Nurse-Call Center Executive at MetroHealth HMO Limited

This is a full-time hybrid role for a Call Center Executive at MetroHealthHMO. The Call Center Executive will be responsible for the following:

Receive calls from Clients, Providers and Staff

• Receives calls from enrollees and prospects
• 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
• Provision of PA report to relevant offi 
• Any other task as assigned by HOD

Qualification

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