Call Centre Officer
Ashmed Integrated Health Services Limited · Abuja
Job description
Key responsibilities
- Receive and respond to enrollee and healthcare provider calls.
- Review and process requests for pre‑authorisation in line with approved HMO policies and benefit plans.
- Issue pre‑authorisation codes for approved services.
- Verify enrollee eligibility and benefit entitlement before authorisation.
- Liaise with healthcare providers regarding treatment requests and required documentation.
- Escalate cases requiring medical review or higher‑level approval.
- Handle complaints relating to access to care, authorisation and provider services.
- Document calls, authorisations, complaints and resolutions accurately.
- Follow up on pending authorisation requests and outstanding cases.
- Maintain confidentiality of enrollee and medical information.
Required profile
- Degree
- 2 years experience
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Published 10 hours ago
Expires 1 month from now
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Ashmed Integrated Health Services Limited
Abuja
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