Accenture Jobs – Care Management

Job Responsibilities:

• Manages incoming or outgoing telephone calls, emails, and/or faxes, including triage, opening of cases and data entry into client system.
• Determines contract; verifies eligibility and benefits.
• Adhere to federal and state regulatory and/or client plan requirements and established workflows.
• Obtains information from claimant or other supporting systems, emails and/or from fax.
• Manages claims, collection of non-clinical information needed for review from claimants and providers, utilizing scripts to screen basic and complex requests.

Job Requirements:

• Graduate of Bachelor’s Degree in Nursing • Holds active and unrestricted local (PH) Registered Nurse license • Must have at least 3 months experience as a Registered Nurse in a clinical setting • Experience in a front-office (voice) call center or BPO back-office environment is an advantage • Knowledge of ICD-9 and ICD-10 and CPT codes is an advantage

Job Details:

Company: Accenture

Vacancy Type: Full Time

Job Location: Quezon City, PH

Application Deadline: N/A

Apply Here

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