Accenture in IndiaEmployer profile

Health Operations Associate-Healthcare Management

Location not specified · 1–3 yrs

Experience: 1–3 yrs
Salary: Not disclosed
Location: Location not specified
Work mode: Not specified
Job type: Full-time
Apply by: Closing date not listed
Posted: 14 May 35

About this role

Skill required: Healthcare Management - Healthcare Utilization Management

Designation: Health Operations Associate

Job Location: Bengaluru

Qualifications: Any Graduation/12th/PUC/HSC

Years of Experience: 1 - 3 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 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.

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

We are looking for voice candidates who will be able to conversant with providers from United States

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, 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

Any Graduation/12th/PUC/HSC

Skills

Project Management and Management