Health Operations Analyst — Clinical Intake & Authorization

Accenture in the Philippines; Taguig; On-site; PHP 360,000 - 540,000; Full time

Benefits offered by this job

Health insurance

Job summary

Accenture in the Philippines is hiring a Health Operations Analyst for a night shift based in Taguig Uptown Bonifacio Tower 3. You will manage calls, e-Reviews, and referrals, confirm eligibility/benefits, and assist with pre-certification and prior authorization processes.

Requires a current Philippines RN license and at least 3 months of clinical experience. This Return to Office role expects strict data entry, accurate case routing, and collaboration with clinicians to ensure efficient

Qualifications

• Must hold a current and unrestricted Philippines Registered Nurse license.
• Minimum 3 months of clinical experience, including internships or volunteer work.
• Experience in Utilization Management, Intake, Health Insurance Claims, or Health Outreach is preferred.

Responsibilities

• Manage calls, e-Reviews, and faxes with case opening and data entry.
• Verify eligibility and benefits, and conduct provider radius searches.
• Obtain intake information and process requests for pre-certification and/or prior authorization.
• Enter data into client systems and route appropriately.
• Coordinate referrals and keep clinicians informed.
• Shift Schedule: Night Shift; Weekends Off; Location: Taguig Uptown Bonifacio Tower 3.

Skills

RN license

Education

Philippines RN license

Job description

Accenture in the Philippines is hiring a Health Operations Analyst for a night shift based in Taguig Uptown Bonifacio Tower 3. You will manage calls, e-Reviews, and referrals, confirm eligibility/benefits, and assist with pre-certification and prior authorization processes.

Requires a current Philippines RN license and at least 3 months of clinical experience. This Return to Office role expects strict data entry, accurate case routing, and collaboration with clinicians to ensure efficient