Health Operations Associate at Accenture · Navi…

Skill required: Claims Services - Payer Claims Processing Designation: Health Operations Associate **Qualifications:**BCom/Bachelor of Arts/BMM
**Years of Experience:**1 to 3 years
**Language - Ability:**English(Domestic) - Intermediate 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 784,000 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 Processor will be responsible for the accurate and timely processing of Medicare Payer Claims Processing. The candidate should have health claims processing experience. The candidate should have Claims Services involves managing and processing insurance claims from start to finish. This includes verifying claim details and determining coverage. The goal is to ensure timety and accurate claim resolution. Responsibilities include Attention to detail. High level of organizational ability, Reliability, Ability to work independently, Flexible and trainable, Payer Claims Processing, Health Rule Payer Experience. 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? Looking for Claims processing experience users. Claims Services involves managing and processing insurance claims from start to finish. This includes verifying claim details and determining coverage. The goal is to ensure timely and accurate claim resolution. Responsibilities include Attention to detail, High level of organizational ability, Reliability, Ability to work independently, Flexible and trainable, Payer Claims Processing, Health Rule Payer Experience. Looking for Claims processing experience users. BCBS Plan claims 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 own team and direct supervisor • You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments • The decisions that you make would impact your own work • You will be an individual contributor as a part of a team, with a predetermined, focused scope of work • Please note that this role may requires you to work in fixed shifts i.e. US Shift (India evening shift).

BCom,Bachelor of Arts,BMM

About Accenture Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities. Visit us at www.accenture.com

Equal Employment Opportunity Statement

We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.