Customer Service New Associate

About the Role

This role involves embedding digital transformation in healthcare operations, driving superior outcomes and value realization, and enabling streamlined operations to serve the emerging healthcare market.

Key Responsibilities

• Evaluating the necessity, appropriateness, and efficiency of healthcare services.
• Ensuring patients receive the right care while managing costs effectively.
• Reviewing medical records.
• Coordinating with healthcare providers.
• Making coverage decisions.
• Solving routine problems, largely through precedent and referral to general guidelines.
• Performing day-to-day operations, department activities, medical and health services, budgeting, research, education, policies and procedures, quality assurance, patient services, and public relations within healthcare facilities.

Requirements & Tech Stack

• Healthcare Utilization Management
• Health Insurance Portability Accountability Act (HIPAA)

Qualifications

• Any Graduation
• Ability to work well in a team
• Adaptable and flexible
• Commitment to quality
• Process-orientation
• Written and verbal communication

This role requires you to solve routine problems, largely through precedent and referral to general guidelines.

Your primary interaction is within your own team and your direct supervisor.

You will be given detailed instructions on all tasks.

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

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

This role may require you to work in rotational shifts.