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Health Operations Associate
Accenture in India
Bengaluru, IND
Full-time
Entry
Onsite
Discovered 1 weeks ago
Healthcare Utilization ManagementHealthcare ManagementHealth Insurance Data Requests and ReferralsMedical Record ReviewHealthcare RegulationsAnalytical Skills
Free
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Healthcare Utilization ManagementHealthcare ManagementHealth Insurance Data Requests and Referrals
Role Overview
Health Operations Associate supporting healthcare utilization management and end-to-end healthcare operations.
The work focuses on appropriate healthcare service use, cost management, streamlined operations, and improved patient outcomes.
Key Skills for This Role
Healthcare Utilization ManagementHealthcare ManagementHealth Insurance Data Requests and ReferralsMedical Record ReviewHealthcare RegulationsAnalytical Skills
Full Job Posting
Role Overview
Health Operations Associate supporting healthcare utilization management and end-to-end healthcare operations.
The work focuses on appropriate healthcare service use, cost management, streamlined operations, and improved patient outcomes.
Required Skills
- Healthcare utilization management and healthcare management knowledge are required.
- The role includes health insurance data requests and referrals.
- Strong analytical skills and knowledge of healthcare regulations are required.
- Advanced domestic English ability is required.
Qualifications and Experience
- Any graduation qualification is accepted.
- One to three years of experience is requested.
Responsibilities
- Review medical records and evaluate the necessity, appropriateness, and efficiency of healthcare services.
- Coordinate with healthcare providers and make coverage decisions.
- Support hospital, outpatient clinic, hospice, and other healthcare facility operations.
- Handle department activities, policies and procedures, quality assurance, and patient services.
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