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
Interested and qualified candidates should forward their CV to: aoseji@metrohealthhmo.com using the position as subject of email.
Apply via :
aoseji@metrohealthhmo.com
