Accenture Job Openings 2023 | Hiring for HEALTHCARE MANAGEMENT | IT Company Jobs in Bangalore

Job Position: HEALTHCARE MANAGEMENT
Company Name: Accenture
Qualification: 12th/PUC/HSC/Any Graduation
Job Location:Bangalore
Salary: Rs 3 to 5 LPA

Job Description:

Skill required: Healthcare Management - Healthcare Utilization Management

Designation: Management Level - Associate

Job Location: Bengaluru

Qualifications: 12th/PUC/HSC/Any Graduation

Years of Experience: 1 to 3 years

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 needed for review from providers, utilizing scripts to screen basic and complex requests for pre-certification and/or prior authorization