New Associate-Healthcare Claims

Skill required: Healthcare Claims - Payer Claims Processing

Designation: New Associate

Job Location: Mumbai

Qualifications: Any Graduation

Years of Experience: 0-1 years

About Accenture Operations

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, Interactive, Technology and Operations services – all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 674,000 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.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:

• Adaptable and flexible
• Ability to perform under pressure
• Problem-solving skills
• Detail orientation

Roles and Responsibilities

• In this role, you are required to solve routine problems, largely through precedent and referral to general guidelines
• Your primary interaction is within your team and your direct supervisor
• You will be given detailed instructions on all tasks that need to be carried out, and the decisions that you make will 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 working closely with project members to effectively deliver on the requirements
• 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.