Health Operations New Associate

Accenture in India

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 such as registering claims, editing, verification, claims evaluation, examination, and litigation.
• You will leverage knowledge of processes and systems to support the healthcare claim function, receiving, editing, pricing, adjudicating, and processing payments for claims.
• In this role, you are required to solve routine problems, largely through precedent and referral to general guidelines.
• You will be given detailed instructions on all tasks.
• Decisions made 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.

Key Responsibilities

• Administration of health claims.
• Core claim processing, including registering, editing, verification, evaluation, examination, and litigation.
• Business solutions to support the healthcare claim function.

Requirements & Tech Stack

• Claims Services - Payer Claims Processing - P3

Qualifications

• Any Graduation
• Good claims knowledge