Job Title: Health Operations New Associate-Healthcare Management
Salary Package: Up to 6 LPA (Expected)
Company Name: Accenture
Job Location: Bangalore
Qualification : Graduation
Job Info:-
What would you do?
The Healthcare Operations vertical helps our clients drive breakthrough growth by combining deep healthcare delivery experience and subject matter expertise with analytics, automation, artificial intelligence and innovative talent. We help payers, providers and government agencies increase provider, member and group satisfaction, improve health outcomes and reduce costs. You will be a part of the Healthcare Management team which is responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes day to day operations, department activities, medical and health services, budgeting and rating, research and education, policies and procedures, quality assurance, patient services, and public relations You will be responsible for Healthcare Utilization where you will gather information using the appropriate client-specific telephonic screening tools. Conducts pre-review screening under the guidance and direction of US licensed health professionals.
Required Qualifications & Skills:-
Qualifications: Any Graduation/12th/PUC/HSC
Years of Experience: 0 – 1 years
Accenture is looking for voice candidates who will be able to conversant with providers from United States
Healthcare Utilization Management
Ability to work well in a team
Adaptable and flexible
Commitment to quality
Process-orientation
Written and verbal communication
Health Insurance Portability & Accountability Act (HIPAA).
Roles and Responsibilities:-
In this role, you are required to solve routine problems, largely through phone call
Manages incoming or outgoing telephone calls, reviews, and/or faxes, including triage, the opening of cases and data entry into the client system. precedent and referral to general guidelines
Determines contract; verifies eligibility and benefits.
Conducts a thorough provider radius search in the client system and follows up with the provider on referrals given.
Checks benefits for facility-based treatment.
Obtains intake (demographic) information from the caller, eReview and/or fax. Processes incoming requests, collection of non-clinical information needed for review from providers, utilizing scripts to screen basic and complex requests for pre-certification and/or prior authorization.
Apply In Below Link..
Note:– Only shortlisted candidates will receive the call letter for further rounds.