Customer Service Associate

8129 ASOL - Bangalore 10 SEZ Company; Bengaluru; On-site; INR 300,000 - 420,000; Full time

Job summary

Accenture in India is seeking a Customer Service Associate to support Healthcare Utilization Management processes. The role focuses on evaluating necessity, appropriateness, and efficiency of services, reviewing medical records, coordinating with providers, and helping steer coverage decisions.

You will work within a team, handle routine tasks, and adapt to rotating shifts as required. Strong analytical skills and knowledge of healthcare regulations are essential.

Qualifications

• Experience in healthcare utilization management and related regulations.
• Ability to work in a team and adapt to changing priorities.
• Strong written and verbal communication skills.

Responsibilities

• Review medical records to assess necessity and appropriateness of care.
• Coordinate with healthcare providers and assist in coverage decisions.
• Work within a team, following guidelines, and handle rotating shifts.

Skills

Healthcare Utilization Management

Team collaboration

Adaptable and flexible

Process-oriented

Written and verbal communication

HIPAA knowledge

Education

Any Graduation

Job description

Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications:Any Graduation Years of Experience:1 to 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 784,000 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? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrow HM- Utilization Management involves evaluating the necessity, appropriateness, and efficiency of healthcare services. The goal is to ensure patients receive the right care while managing costs effectively. Responsibilities include reviewing medical records, coordinating with healthcare providers, and making coverage decisions. This role requires strong analytical skills and knowledge of healthcare regulations. It is essential for optimizing resource use and improving patient outcomes. The administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This experience 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.

What are we looking for?

• Healthcare Utilization Management
• Ability to work well in a team
• Adaptable and flexible
• Process-orientation
• Written and verbal communication
• Commitment to quality
• Health Insurance Portability & Accountability Act (HIPAA)

Roles and Responsibilities

• In this role you are required to solve routine problems, largely through precedent and referral to general guidelines
• Your expected interactions are within your own team and direct supervisor
• You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments
• The decisions that you make would impact your own work
• 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

Accenture is a leading global professional services company that helps the world's leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services-creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world's leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities. Visit us at www.accenture.com

Equal Employment Opportunity Statement We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities. Bring your incredible skills and join our global team of innovators. We come together from different backgrounds across the world and work with the latest technologies to create value and growth for our clients. With us, you'll continue to learn and grow so you can advance in your career. Your personal dreams and ambitions are just as important to us; that's why we offer support any way we can—when you thrive, we all thrive. Explore your next step at Accenture Belong. Grow. Thrive. Join a great place to work for reinventors who drive meaningful change for our clients, communities, and the world. Wo rld. Explore your next step at Accenture