Job Position: Health Operations New Associate-Healthcare Management
Company Name: Accenture
Qualification: Any Degree Graduate
Job Location: Bangalore, India
Salary: Upto Rs. 6 LPA
Job Description:
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.