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Health Operations New Associate

Job Expired: This job listing has expired.

Health Operations New Associate

Name: Jobpe
Address: T-Hub, Plot No 1/C, Sy No 83/1, Raidurgam panmaktha, Knowledge City Rd, Hyderabad, Telangana, 500081, IN
Telephone: +91-83339-09630
Price range: Free

Accenture

0 - 1 years

2 - 3 Lacs

Chennai

Posted:9 months ago| Platform:

Apply

Skills Required

operations management enrollment billing billing center life sciences vendor management project management team management mis reporting customer service claims processing process management incident management team leading sla management

Work Mode

Work from Office

Job Type

Full Time

Job Description

Skill required: Provider Network - Life Sciences Regulatory Operations

Designation: Health Operations New Associate

Qualifications:Any Graduation

Years of Experience:0 to 1 years

What would you do?

Timely and Accurate Enrollment:Ensure that all members and groups are enrolled within the agreed-upon timelines by capturing required information and verifying eligibility, generating Invoice and reconciling payments. You will facilitate a smooth enrollment and billing process while maintaining attention to detail to meet deadlines

ID Card Issuance:After completing enrollments, promptly issue ID cards to members, ensuring all details are accurate. This will help members gain seamless access to healthcare services

Processing Changes and Terminations:Accurately process changes, additions, deletions, and terminations for members to ensure their records are always up-to-date. Ensure that all updates are reflected correctly in the system and communicated to relevant parties

Enrollment & Billing Materials Distribution:Ensure that members and groups receive the necessary enrollment and Billing materials, such as benefits guides and plan details. You will provide clear and accessible information to help members understand and navigate their healthcare benefits

Compliance and Accuracy:Adhere to all organizational policies, compliance standards, and SLAs while processing enrollments. You will focus on data accuracy to minimize errors and maintain reliable records for all members and groups

What are we looking for?

Minimum 0-1 Year Experience in Enrollment and Billing:Basic understanding of enrollment and Billing process, eligibility verification, and billing practices in the healthcare domain

Attention to Detail and Accuracy:Ability to accurately process enrollments, changes, terminations, and ensure all data is up-to-date and error-free

Efficiency and Timeliness:Ability to process enrollments and changes promptly while adhering to established SLAs and ensuring smooth operations

Strong Communication and Compliance:Ensure clear communication of enrollment materials and compliance with organizational policies and regulations
Roles and Responsibilities: Enrollment Specialist (0-1 Year Experience) in Healthcare Domain

Timely Enrollment and Data Accuracy:Ensure the accurate and timely enrollment of members and groups, generating Invoice and reconciling payments. Verifying eligibility and billing data by capturing all required information to meet organizational timelines

ID Card Issuance and Verification:Issue ID cards promptly post-enrollment, ensuring all member details are correct and meet organizational standards for seamless healthcare service access

Processing Changes and Terminations:Accurately process member and billing changes, additions, deletions, and terminations, ensuring timely updates and communication across relevant systems and departments

Qualifications
Any Graduation

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Health Operations New Associate