Job Description
Skill Required: Claims Services - Payer Claims Processing
Designation: Health Admin Services New Associate
Qualifications: Any Graduation
Years of Experience: 0 to 1 year
About Accenture
Accenture is a globally recognized professional services company with cutting-edge expertise in digital transformation, cloud solutions, and security. We bring unparalleled experience and specialized skills across more than 40 industries, offering services in Strategy and Consulting, Technology, Operations, and Accenture Song. Powered by the world’s largest network of Advanced Technology and Intelligent Operations centers, our team of 699,000 professionals delivers technology-driven innovation and human ingenuity to clients in over 120 countries. We embrace change to create value and drive success for our clients, employees, shareholders, partners, and communities.
Job Overview
The Health Admin Services New Associate will play a crucial role in embedding digital transformation within healthcare operations. This role is integral to driving superior outcomes, realizing value today, and ensuring efficient operations to support the evolving healthcare market of the future.
You will be a part of the Healthcare Claims team, which is responsible for the comprehensive administration of health claims. This team is engaged in core claim processing activities, including:
Registering claims
Editing and verifying claim details
Evaluating and adjudicating claims
Examining claims for accuracy and compliance
Managing litigation related to claims processing
As a part of this role, you will leverage business solutions that support healthcare claim functions, utilizing knowledge of processes and systems to receive, edit, price, adjudicate, and process claim payments efficiently.
Key Responsibilities
Solve routine problems using established precedents and general guidelines.
Interact primarily within your team and report directly to your supervisor.
Follow detailed instructions for all assigned tasks.
Make decisions that impact your own work, which will be closely supervised.
Operate as an individual contributor within a well-defined scope of work.
Adhere to rotational shift requirements as specified by the organization.
Desired Skills and Qualifications
Strong analytical and problem-solving skills.
Ability to learn quickly and adapt to dynamic work environments.
Basic understanding of healthcare claim processes is a plus.
Good communication and teamwork abilities.
Comfortable working in U.S. shifts and rotational schedules.
This role offers a fantastic opportunity for fresh graduates or individuals with up to one year of experience to gain valuable industry knowledge and practical exposure in healthcare claims processing. If you are looking to begin a career in a fast-paced and dynamic environment, we encourage you to apply!
Join Accenture and be part of a team that drives innovation, efficiency, and transformation in the healthcare sector!