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Health Operations Analyst-Healthcare Claims

1831_10474521

Accenture

Negotiable

Mumbai, India

India

Healthcare & Medical

21/09/2023

18/09/2023

27/05/2037

Not specified

Permanent | Full Time

Skill required: Healthcare Claims - Payer Claims Processing

Designation: Management Level - Analyst

Job Location: Mumbai

Qualifications: BSc/Any Graduation/BMS/BMM

Years of Experience: 3 to 5 years

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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?


• Ability to meet deadlines
• Process-orientation
• Strong analytical skills
• Client communication skill
• BCOM, BSC, BAA, BMS
• Flexible and trainable
• Attention to detail
• Ready to work in evening shift
• Conveys information clearly and effectively both written and verbal
• Ability to work independently
• Payer Claims Processing Experience
• Health Rule Payer application Experience
• Team handling experience
• MSOffice like excel, word, ppt knoweldge
• Ability to prioritize and multi-task

Roles and Responsibilities


• In this role you are required to do analysis and solving of lower-complexity problems
• Your day to day interaction is with peers within Accenture before updating supervisors
• In this role you may have limited exposure with clients and/or Accenture management
• You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments
• The decisions you make impact your own work and may impact the work of others
• You will be an individual contributor as a part of a team, with a focused scope of work
• Please note that this role may require you to work in rotational shifts

Your total rewards

Accenture Flex offers a Total Rewards package which includes compensation recognizing individual contributions and a range of benefits so you can build a coverage package based on your personal needs.

Base pay

We offer a competitive base pay based on your role, career level and skills.

Medical coverage and spending accounts

Employees have a choice of plans (PPO, EPO, HDHP) covering a wide range of medical services and prescription drugs. Use pretax dollars to pay for eligible health care and dependent day care expenses.

Dental and vision coverage

Employees can choose a traditional dental plan or a dental maintenance organization plan. A vision care plan is offered which covers an annual routine eye exam as well as frames, lenses, or contacts.

Life Insurance & Long-Term Disability

Accenture Flex provides you with a basic level of life, AD&D and disability insurance, and you have the option of purchasing additional coverage.

Paid Time Off (PTO)

PTO encompasses traditional vacation time along with paid personal time off and sick leave, providing flexibility for how, when and for what purpose time off is taken.

401(k) Savings plan

Employees are immediately eligible to contribute to a standard 401(k), a Roth, or an after-tax account through convenient payroll deductions and are always vested in their own employee contributions.



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