Health Operations New Associate

Skill required: Provider Network - Life Sciences Regulatory Operations
Designation: Health Operations New Associate
Qualifications:Any Graduation
Years of Experience:0 to 1 years
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 699,000 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? • Timely and Accurate Enrollment: Ensure that all members and groups are enrolled within the agreed-upon timelines by capturing required information and verifying eligibility, generating Invoice and reconciling payments. You will facilitate a smooth enrollment and billing process while maintaining attention to detail to meet deadlines • ID Card Issuance: After completing enrollments, promptly issue ID cards to members, ensuring all details are accurate. This will help members gain seamless access to healthcare services • Processing Changes and Terminations: Accurately process changes, additions, deletions, and terminations for members to ensure their records are always up-to-date. Ensure that all updates are reflected correctly in the system and communicated to relevant parties • Enrollment & Billing Materials Distribution: Ensure that members and groups receive the necessary enrollment and Billing materials, such as benefits guides and plan details. You will provide clear and accessible information to help members understand and navigate their healthcare benefits • Compliance and Accuracy: Adhere to all organizational policies, compliance standards, and SLAs while processing enrollments. You will focus on data accuracy to minimize errors and maintain reliable records for all members and groups
What are we looking for? • Minimum 0-1 Year Experience in Enrollment and Billing: Basic understanding of enrollment and Billing process, eligibility verification, and billing practices in the healthcare domain • Attention to Detail and Accuracy: Ability to accurately process enrollments, changes, terminations, and ensure all data is up-to-date and error-free • Efficiency and Timeliness: Ability to process enrollments and changes promptly while adhering to established SLAs and ensuring smooth operations • Strong Communication and Compliance: Ensure clear communication of enrollment materials and compliance with organizational policies and regulations
Roles and Responsibilities: Enrollment Specialist (0-1 Year Experience) in Healthcare Domain • Timely Enrollment and Data Accuracy: Ensure the accurate and timely enrollment of members and groups, generating Invoice and reconciling payments. Verifying eligibility and billing data by capturing all required information to meet organizational timelines • ID Card Issuance and Verification: Issue ID cards promptly post-enrollment, ensuring all member details are correct and meet organizational standards for seamless healthcare service access • Processing Changes and Terminations: Accurately process member and billing changes, additions, deletions, and terminations, ensuring timely updates and communication across relevant systems and departments