Home Jobs in Uganda - June 2022 Call Centre Nurse – Old Mutual

Call Centre Nurse – Old Mutual

Job Description

To manage medical benefit utilization through supervision of pre-authorization answer queries over the phone and give timely solutions to the customer

  • To resolve customer queries over the phone and offer solutions to the customers in a timely manner
  • Supervise Pre-authorization of scheduled and non-scheduled admissions within the set guidelines and carry out verification and medical Audit of claims/invoices before settlement.
  • Managing requests for services from providers, intermediaries and clients, providing information on the UAP Old Mutual provider network and available benefits per scheme policy
  • In conjunction with SMART applications resolve card issues raised at the point of service
  • Authorization of all optical requests from the different providers within 6 hours and prepare daily reports
  • To attend to reimbursements from the different providers in a timely manner and provide daily reports.
  • Liaise with other medical schemes for purposes of evaluating medical risk.
  • To formulate committal letters of discharges as a result of the requests from the different service providers.

Education- Certificate (Cert): Nursing (Required)

Closing Date – 08 October 2021

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