Customer Service New Associate-Voice

Skill required: HM- Utilization Management - Healthcare Management

Designation: Customer Service New Associate

Qualifications: Any Graduation

Years of Experience: 0 to 1 years

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

Commitment to quality

Process-orientation

Written and verbal communication

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 primary interaction is within your own team and your direct supervisor

In this role you will be given detailed instructions on all tasks

The decisions that you make impact your own work and are closely supervised

You will be an individual contributor as a part of a team with a predetermined, narrow scope of work

Please note that this role may require you to work in rotational shifts

Qualification Any Graduation