Health Operations New Associate

Accenture in India

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.

About the Role

You will be a part of the Healthcare Claims team, responsible for the administration of health claims. This team is involved in core claim processing.

This role may require you to work in rotational shifts.

Key Responsibilities

• Registering claims
• Editing claims
• Verification of claims
• Claims evaluation
• Claims examination
• Litigation
• Support business solutions that leverage knowledge of processes and systems to receive, edit, price, adjudicate, and process payments for claims.
• Solve routine problems, largely through precedent and referral to general guidelines.
• Follow detailed instructions on all tasks.
• Make decisions that impact your own work under close supervision.

Requirements & Tech Stack

• Claims Services - Payer Claims Processing
• Good claims knowledge

Qualifications

• Any Graduation
• You will be an individual contributor as part of a team with a predetermined, narrow scope of work.
• Your primary interaction is within your own team and your direct supervisor.