Ramamurthy Nagar Bengaluru Karnataka General nurse Jobs – 33 Open Jobs Today

Health Admin Services Associate-Voice
Accenture —Bengaluru, Karnataka
- Full-time
- Nursing
- B.Sc
- English
- Health insurance
General Surgeon general surgery
Health Plus Multi Speciality Hospital —Krishnarajapuram, Bengaluru, Karnataka
- ₹13,838.76 - ₹1,06,269.58 a month
- Full-time
- Medicine
- Bachelor's degree
- Patient care
- Flexible schedule
Quick apply
Health Admin Services New Associate-Voice
Accenture —Bengaluru, Karnataka
- Full-time
- Nursing
- B.Sc
- English
- Health insurance
Billing Executive
Chinmaya Hrudayalaya —Bengaluru, Karnataka
- Nursing
- ACLS Certification
- Diploma
Executive - Patient Care and Administration Coordinator
AastarUrmika Health Care Pvt. Ltd. —JC Road, Karnataka
- ₹11,771.49 - ₹30,206.98 a month
- Full-time
- Customer service
- 12th Pass
- Bachelor's degree
- Health insurance
- Flexible schedule
Quick apply
Supply Chain Lead
Dozee —Bengaluru, Karnataka
- Full-time
- ERP systems
- Analysis skills
- Budgeting
Secretarial & Investor Relations
Dozee —Bengaluru, Karnataka
- Full-time
- AI
- Communication skills
Clinic Receptionist
Dr. Aravind's IVF Fertility & Pregnancy Centre —Konanakunte, Bengaluru, Karnataka
- ₹10,000 - ₹15,000 a month
- Full-time
- English
- 12th Pass
- Bachelor's degree
Quick apply
6d
Sr. Executive/ Executive HIM (EM IP/OP)
CorroHealth Infotech Private Limited —Bengaluru, Karnataka
- Full-time
- Anatomy knowledge
- Medical terminology
Quick apply
Manager Finance Controllership
Dozee —Bengaluru, Karnataka
- Full-time
- ERP systems
- Accounting
- QuickBooks
Front Desk Receptionist
IBBANI NETHRALAYA —Jakkur, Bengaluru, Karnataka
- ₹12,000 - ₹20,000 a month
- Weekend availability
- English
- Microsoft Office
- 12th Pass
Quick apply
14d
Firmware Test Engineer
Dozee —Bengaluru, Karnataka
- Full-time
- C++
- Linux
- AI
1d

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Health Admin Services Associate-Voice

Accenture -
Bengaluru, Karnataka

Apply Now

Job details

Full-time

Benefits

Health insurance

Qualifications

Nursing
B.Sc
English
12th Pass
Science
Bachelor's degree
Computer skills
Diploma
Communication skills
Nursing

Full job description

Skill required: Claims Appeals - Claims Administration
Designation: Health Admin Services 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 Claims Appeals involves reviewing and processing appeals for denied insurance claims. This includes evaluating the reasons for denial, gathering additional information, and making decisions on the appeal. The goal is to ensure fair and accurate resolution of claims. Responsibilities include communicating with claimants, analyzing documentation, and adhering to regulatory guidelines. This role is essential for maintaining trust and satisfaction in the claims process. Includes the administration of health, life, and property & causality claims. Includes activities involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.
What are we looking for? • Conduct pre-service and retrospective Provider and Member Appeals for outpatient and inpatient requests. Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. • Utilize client specific criteria sets (e.g., Milliman or InterQual), applicable client specific medical policy and client clinical guidelines for decision making to either approve, request for additional clinical information or summarize and route to Client s nursing reviewer and/or Client s medical staff for review. • Accurately routes cases to client medical staff for further review when a service or admission does not meet medical necessity, place of service, or benefit criteria. • Responsible for conducting medical management review activities which require the review of clinical information against client specific criteria as noted above but excludes denial determinations. • Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to contract. Consult with clinical reviewers and/or U.5.-licensed medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process. • Graduate of any college degree or High School Diploma with 6 months BPO work experience. • At minimum 6 months of work experience. • Excellent written and verbal communication skills in English • Must pass American English and alternate language fluency test ("Test") upon hire (non-US resident). For voice accounts, must pass US Berlitz B2 level or Versant score of 58 or any language proficiency equivalence. • Proficiency in basic computer knowledge with the ability to learn additional computer programs. • Holds current and unrestricted local Registered Nurse license. • Bachelor of Science Nursing (BSN) degree or General Nursing & Midwifery (GNMJ Diploma or Basic Bachelor of Science (BSC) in Nursing degree or Associate Nursing Degree or Nursing Diploma • A minimum of three (3) months of prior working experience as a Registered Nurse in a clinical setting required. • Three months is equivalent to 480 hours of working experience as an RN
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

Any Graduation

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Refine Your Search

general nurse jobs in ramamurthy nagar bengaluru karnataka

Health Admin Services Associate-Voice

General Surgeon general surgery

Health Admin Services New Associate-Voice

Billing Executive

Executive - Patient Care and Administration Coordinator

Supply Chain Lead

Secretarial & Investor Relations

Clinic Receptionist

Sr. Executive/ Executive HIM (EM IP/OP)

Manager Finance Controllership

Front Desk Receptionist

Firmware Test Engineer

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