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Private Jobs / Private Sector

Accenture in India Looking For Health Operations New Associate-Healthcare Management at Bengaluru, Karnataka, Full Time


Skill required: Healthcare Management – Healthcare Utilization Management

Designation: Management Level – New Associate

Job Location: Bengaluru

Qualifications: Any Graduation

Years of Experience: 0 to 1 years

About Accenture

Accenture is a global professional services company with leading capabilities in digital, cloud and security. Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song— all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com

  

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 Management which is a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision making through case by case assessments of the appropriateness of care prior to its provision.

What are we looking for?

  • 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

  • You will be an individual contributor as a part of a team, with a predetermined, focused scope of work
  • Please note that this role may require you to work in rotational shifts
  • In this role you are required to solve routine problems, largely through phone call
  • Manages incoming or outgoing telephone calls, eReviews, and/or faxes, including triage, opening of cases and data entry into client system. recedent and referral to general guidelines
  • Determines contract; verifies eligibility and benefits.
  • Conducts a thorough provider radius search in client system and follows up with provider on referrals given.
  • Checks benefits for facility-based treatment.
  • Obtains intake (demographic) information from caller, eReview and/or from 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

    • Any Graduation

    Job Overview

    • Date Posted:
    • Job Title: Accenture in India Looking For Health Operations New Associate-Healthcare Management at Bengaluru, Karnataka,
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