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 which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing, verification, claims evaluation and examination, and litigation.

Key Responsibilities

• Solve routine problems, largely through precedent and referral to general guidelines.
• Process core claims including registration, editing, verification, evaluation, and examination.
• Support healthcare claim functions with business solutions, leveraging knowledge of processes and systems to receive, edit, price, adjudicate, and process payments for claims.
• Work under detailed instructions on all tasks.
• Make decisions that impact your own work and are closely supervised.
• Act as 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.

Requirements & Tech Stack

• Payer Claims Processing (Primary Skill - P3)
• Good claims knowledge

Qualifications

• Any Graduation
• 0 to 1 years of experience