About Company:Accenture plc is an Irish-American, professional services company based in Dublin, specializing in information technology services and consulting.
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, Interactive, Technology, and Operations services — all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers.
Our 674,000 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 accenture.com.
Company Name: Accenture
official Website: Accenture
company wikipedia: Accenture Wiki
position: Associate
degree required: BE/B.Tech/BCA/B.Sc/B.Com/BBA
Passout Year: 2020/2021/2022/2023
Work Loaction: Banglore,India
Package: Best in industry
Experience Required:0-1 year
Recuirements:
- 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