• Medical Job Vacancies at Box & Cedar

  • Posted on: 12 January, 2016 Deadline: Not Specified
  • View Jobs in Healthcare / Medical View All Jobs at Box and Cedar
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  • Box & Cedar is an HR Consulting Firm. We believe in the power of people and exploiting it to the maximum because we know that people are the greatest assets of any organisation.

    We have distilled our products into what we call the 3S- Sourcing, Sieving and Stimulating.

    Client Service Executive

     

    Job Description:

    • Ensure prompt resolution to clients’ complaints, requests and enquiries.
    • Sorting and registration of clients’ forms.
    • Sorting out forms for ID card production and verification of ID cards before delivery to clients.
    • Verification of enrollee list and ensuring delivery to the providers.
    • Monitoring and maintaining of clients filing system for renewals, payments and update of staff list.
    • Maintains effective relationships with existing and potential customers in the most effective, efficient and professional manner.
    • Maintains relevant hard and electronic copies of customer files.
    • Attend to client request, complaints/enquiries and proffer solutions based on NHIS guidelines and MHS policy and benefit package.
    • Participate in Health Talks and enlightenment forum.
    • Maintains effective communication channel and carry out periodic visits of clients and providers (Private and NHIS).
    • Coordinate NHIS activities in the branch.
    • Education of NHIS enrollees on workings of the benefit package.
    • Report all complaints received to Head office and ensure prompt resolution of complaints received.
    • To submit weekly report and monthly summary to Head, Customer Care.

    Minimum Qualification:

    • Single/double qualified nurse with HMO experience

    Knowledge & Skills:

    • Possess good verbal and written communication skills.
    • Listening skills
    • Problem solving
    • Customer service orientation
    • Organizational skills
    • Attention to detail
    • Initiative
    • Adaptability
    • Team work
    • Stress tolerance
    • Resilience.

    Job Type:
    Full Time

    Experience:
    2 Years

    go to method of application »

    Claims Officer/Care Cordinator

     

    Job Description:

    • Analysing and processing of NHIS fee-for-service claims
    • Checking enrollee status and approval
    • Vetting bills according to NHIS tariff
    • Noting discrepancies on the bills and writing or return of claims to affected provider
    • Posting of issued cheques for paid claims
    • Attachment of bill analysis to paid claims
    • Filing of all paid claims
    • Computerized processing of NHIS data.
    • Assisting in processing NHIS capitation
    • NHIS registration of enrollees
    • Visitation of NHIS providers / parastatals
    • Documenting / imputing of NHIS primary providers bank details
    • Giving of approvals to secondary providers for NHIS enrollees
    • Payment of NHIS providers capitation to banks
    • Notification through correspondences and calls to NHIS providers on payment of capitation to their bank account
    • Filing acknowledgement copies/receipts of capitation
    • Attending to calls on NHIS enrollee providers
    • Attending to NHIS enrollee complaints on omission of names or changes in ID cards (Registration)
    • Assisting in enrollee enlightenment on the operation of NHIS
    • Answer call professionally.
    • Respond to customer enquiries.
    • Research required information using available resources.
    • Handle and resolve customer complaints.
    • Provide customer with product and services information
    • Enter customer information
    • Accept/process orders, forms and applications
    • Identify and escalate priority issues
    • Route calls to appropriate resource
    • Follow up customer calls where necessary
    • Complete call logs
    • Produce call reports
    • Maintain complaints file (NHIS)
    • Resolves enrollee complaints in Hospitals.
    • Proffer referral centre and codes when necessary to providers.
    • Proficient in relevant computer application.
    • Other duties as assigned

    Minimum Qualification:

    • Nursing, RN, RM

    Knowledge & Skills:

    • Possess good verbal and written communication skills.
    • Listening skills
    • Problem solving
    • Customer service orientation
    • Organizational skills
    • Attention to detail
    • Initiative
    • Adaptability
    • Team work
    • Stress tolerance
    • Resilience.

    Job Type:
    Full Time

    Experience:
    2 Years

    Method of Application

    Interested in this position? Apply on Box and Cedar's Career Website

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