Associate-Healthcare Claims – Mumbai

Accenture

  • Full Time

To apply for this job please visit www.accenture.com.

In today’s business environment, growth isn’t just about building value-it’s fundamental to long-term business survival. So how do organizations sustain themselves? The key is a new operating model-one that’s anchored around the customer and propelled by intelligence to deliver exceptional experiences across the enterprise at speed and at scale. You will deliver breakthrough business outcomes for clients-by harnessing talent, data and intelligence to revolutionize their operating models. Operations is one of four services that make up one Accenture -the others are Strategy and Consulting, Interactive and Technology. Visit us at www.accenture.com

 

 

What would you do? 

The Healthcare Operations vertical helps our clients drive breakthrough growth by combining deep healthcare delivery experience and subject matter expertise with analytics, automation, artificial intelligence and innovative talent. We help payers, providers and government agencies increase provider, member and group satisfaction, improve health outcomes and reduce costs.

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 & litigation.

In Payer Claims Processing you will be responsible for delivering business solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims.

 

 

What are we looking for? 

 

We are looking for individuals who have the following skillset: 

Ability to perform under pressure
Ability to work well in a team
Ability to manage multiple stakeholders
Ability to meet deadlines 

 

Roles and Responsibilities 

 

In this role, you are required to solve routine problems, largely through precedent and referral to general guidelines
Your expected interactions are within your team and direct supervisor
You will be provided detailed to a moderate level of instruction on daily work tasks and detailed instruction on new assignments and the decisions that you make that would impact your work
You will need to be well versed with basic statistics and terms involved in the day to day business and use it while discussing with stakeholders
You will be required to help in the overall team’s workload by managing your deliverables and help the team when required
You will be an individual contributor as a part of a team, with a predetermined focused scope of work.
Please note this role may require you to work in rotational shifts.

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