Call Center Nurse Job at Greenbay Healthcare Services Limited

Greenbay Healthcare Services Limited is an integrated healthcare solution provider set up to provide service as a health maintenance organization. It is a new generation health maintenance organization created in response to service delivery challenge observed within the health care service industry.

We are recruiting to fill the position below:

Job Position: Call Center Nurse

Job Location: Ikeja, Lagos
Employment Type: Full-time

Core Purpose of the Job

• Responsible for overseeing healthcare provider network development and management, care coordination, provider relations, claims administration, and wellness programmes and at the same time ensuring enrollee satisfaction by answering and or initiating customer calls, respond to customer needs in a professional, service-oriented manner.
• Maintain the highest level of customer satisfaction by seeking first call resolution.

Task Complexity

• You are expected to contribute meaningfully towards team target achievement.
• Oversee member services activities and client relationship management.
• Assist in the marketing of health plans to private and public organizations by developing training materials, conduct onsite training sessions, circulate health newsletters, carryout researches, resolving situations as raised by enrollees.
• Be responsible for general administration, appropriate adjudication, negotiation of claims.
• Timely treatment of pre-authorization requests and codes.
• Sufficient and effective deployment of monitoring/quality assurance tools.
• Effective provider visitation and proper reporting of visits and Quality Assurance tools utilized in weekly report.
• Effective use of computer to analyze report and submit reports.
• Ensure confidentiality of Client records.
• Coordinate medical reviews, grievances and appeals.
• Ensure seamless operations in the provision of care to enrollees.

Job Specific Competencies (Skills/ Knowledge/ Attributes):

• Ability to develop, influence and implement systems and procedures.
• Possess excellent verbal, written and presentational skills.
• Excellent analytical skills.
• Knowledge of project management techniques.

Qualification(s)

• 2 - 4 years relevant work experience.
• A minimum of a Bachelor's Degree in Nursing from a reputable University, professional qualification would be an advantage.
• Must be duly registered to practice in Nigeria with valid certifications.

Method of Application
Interested and qualified candidates should send their Applications to: jobs@greenbayhmo.com using the Job position as the subject of the email.