Health Admin Services Associate at Accenture | 1 – 3 years

Health Admin Services Associate | Gurugram

Accenture is hiring a Health Admin Services Associate for a characteristic specializing in Claims Administration in the healthcare region. The function calls for 1-three years of enjoy in medical billing, coverage verification, and income cycle manipulation. Candidates need to own sturdy verbal exchange capabilities, hobby to element, and skillability in healthcare programs and ICD-10/CPT coding. Responsibilities encompass coping with claims submission, resolving billing troubles, dealing with denials, and maintaining affected individual facts. The function gives a dynamic paintings environment with opportunities for growth interior Accenture’s international network of advanced generation and sensible operations facilities.

Role: Health Admin Services Associate 

Company: Accenture

Experience: 1 – 3 years

Salary: Not Disclosed

Location: Gurugram

About Accenture:

Accenture is a primary global expert offerings enterprise with specialized capabilities in virtual, cloud, and safety. Operating at some point in more than 40 industries, Accenture provides Strategy and Consulting, Technology, and Operations services, in addition to Accenture Song, all powered with the beneficial resource of the area’s biggest network of Advanced Technology and Intelligent Operations facilities. With numerous employees of 699,000 employees, Accenture can offer present lawyers to clients in over one hundred twenty global places, leveraging era and human ingenuity. The agency is devoted to developing cost and shared fulfillment for its customers, humans, shareholders, partners, and communities.

Role Overview:

The Health Admin Services Associate at Accenture can be a part of the Claims Services company, focusing on Claims Administration. This feature is important in dealing with healthcare claims, ensuring accuracy in billing and bills, and supporting the general revenue cycle control (RCM) method. The first-rate candidate may have a stable knowledge of scientific billing, healthcare income cycle, insurance verification, and experience in the use of health-related programs and structures.

Key Responsibilities:

Medical Billing and Claims Administration:

The function requires a splendid revel in scientific billing, in particular in healthcare and medical health practitioner administrative center billing. The associate could be chargeable for the best submission of claims, which includes price entries and rate postings. Handling 0.33-celebration coverage declare billing, following up on great claims, and resolving problems that upward thrust up from wrong or incomplete facts are vital obligations.

Insurance Verification:

A crucial part of the characteristic involves verifying coverage and blessings, making sure that everyone’s claims are processed in compliance with payer requirements. This includes checking affected individual eligibility, insurance, and pre-authorization at the same time as vital.

Claims Submission and Follow-Up:

The accomplice might be accountable for submitting claims to insurance payers electronically or via paper and following up on any antisocial money owed. This consists of dealing with denials, coordinating with insurance businesses to resolve issues, and the usage of the next steps for both scientific and non-medical denials.

Payment Posting and Reconciliation:

Reviewing bills from insurance groups and sufferers, reconciling discrepancies, and maintaining unique notes of movements taken to resolve amazing claims are important duties. The function also entails maintaining affected character demographic information because it ought to be in statistics series systems.

Communication and Coordination:

Effective verbal exchange with US-based total clinics, imperative billing offices, and coverage payers is a key component of the project. The associate ought to be conversing in truth and exactly with US contrary numbers, each through the usage of telephone or email, to clean remarkable claims and clear up billing issues properly away.

Reporting and Documentation:

The function includes preparing particular billing reviews and maintaining the reputation of the queue at the same time as adhering to payer and organization coverage suggestions. The associate can also be required to file and talk with sufferers, scientific doctor’s offices, insurance agencies, and governmental payers regarding billing issues and claims processing.

Skills and Qualifications:

Educational Background:

A bachelor’s diploma in Finance, Accounting, Healthcare Administration, or an associated area is preferred.

Experience:

Candidates should have 1-3 years of revel in clinical billing and healthcare management, with robust expertise in medical terminology and understanding of ICD-10 and CPT coding.

Technical Skills:

Proficiency in MS Office Suite and fitness-associated programs or systems is relevant. Experience in managing virtual fitness information (EHR) and profits cycle management software program applications is a plus.

Communication Skills:

Excellent written and verbal communication abilities are critical, with the capacity to handle billing inquiries and documentation with professionalism and clarity.

Attention to Detail:

The position requires an immoderate degree of hobby to element to come to be privy to billing mistakes and initiate corrective actions.

Organizational Skills:

Strong organizational abilties are critical to govern more than one duty and prioritize successfully in fast-paced surroundings.

Roles:

Perform comprehensive revenue cycle manipulation processing, which includes claims submission, price get right of entry, price posting, and developing older money owed receivable (AR) look-at-up.

Conduct thorough insurance and benefit verification techniques to make certain claims are submitted successfully.

Handle third-celebration insurance claim billing, which encompasses submitting claims to payers for repayment and following up on any issues.

Resolve coverage and affected man or woman troubles due to wrong or incomplete statistics, treatment changes, and pharmacy or transport mistakes.

Review and treatment claim denials using coordinating with coverage organizations and taking suitable corrective actions.

Follow up on antisocial money owed and document at the repute of claims processing.

Maintain correct affected man or woman demographic information and make sure records are integrity in the collections device.

Prepare specific billing reports and display the reputation of billing queues according to payer and organization recommendations.

Communicate efficaciously with sufferers, medical doctors’ workplaces, insurance companies, and governmental payers concerning billing issues to expedite claims processing.

Benefits at Accenture

Comprehensive Healthcare Coverage: Accenture offers strong medical insurance plans, which encompass scientific, dental, imaginative, and prescient coverage for employees and their families.

Flexible Work Arrangements: Accenture lets in work-existence stability through the usage of the usage of providing bendy work schedules and a ways off operating alternatives, allowing employees to do business from home or choose flexible hours.

Professional Development Opportunities: Accenture invests in employee boom through education programs, certifications, and proper right of entry to the contemporary generation and employer traits.

Retirement and Savings Plans: Accenture gives competitive retirement economic savings plans, which include 401(good enough) matching contributions and different economic making plan sources.

Diversity and Inclusion: Accenture is dedicated to developing a secure and inclusive place of job, promoting equality, and apprehending all employees irrespective of ancient past or identification.

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