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    Health Admin Services Associate

    Accenture
    1-3 years
    Not Disclosed
    Chennai
    10 Aug. 14, 2024
    Job Description
    Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

    Job Title: Health Admin Services Associate

    Skill Required: Payer Eligibility & Enrollment

    Qualifications: Any Graduation

    Experience: 1 to 3 Years

    About Accenture:

    Accenture is a global leader in professional services, specializing in digital, cloud, and security solutions. We offer Strategy and Consulting, Technology and Operations services, and Accenture Song, supported by our extensive network of Advanced Technology and Intelligent Operations centers. With 699,000 employees across 120 countries, we drive value through innovation and technology. Learn more at www.accenture.com.

    Role Overview:

    As a Health Admin Services Associate, you will play a key role in healthcare revenue cycle management, focusing on medical billing, insurance verification, and payer eligibility. You will manage claims submissions, resolve billing issues, and ensure accurate patient and billing records while coordinating with US clinics and billing offices.

    Key Responsibilities:

    • Medical Billing: Handle comprehensive RCM processes including claims submission, charge entries, payment postings, and aging/AR follow-up.
    • Insurance Verification: Verify insurance benefits, manage third-party insurance claims, and resolve issues related to billing errors or incomplete information.
    • Claims Management: Submit claims (paper and electronic) to insurance payers, review and resolve denials, and follow up on both clinical and non-clinical denials.
    • Communication: Coordinate with US clinics and central billing offices, addressing billing inquiries and communicating effectively with US counterparts via phone and email.
    • Data Management: Maintain patient demographic information, prepare billing reports, and ensure compliance with payer and company policies.
    • Issue Resolution: Research and respond to billing issues through various channels, including telephone, internet, and written communication to expedite claims processing.

    Qualifications and Skills:

    • Education: Bachelor’s degree in Finance, Accounting, Healthcare Administration, or a related field.
    • Experience: 1 to 3 years in medical billing with a solid understanding of medical terminology and proficiency in ICD-10 and CPT coding.
    • Skills:
      • Knowledge of RCM processing, including claims submission and payment postings.
      • Experience with insurance and benefit verification processes.
      • Proficiency in MS Office Suite and health-related applications/systems.
      • Excellent written and verbal communication skills.
      • Detail-oriented with strong organizational skills and the ability to manage multiple tasks in a fast-paced environment.

    Working Conditions:

    • Interaction: Regular interaction with peers and supervisors, with limited exposure to clients.
    • Instructions: Moderate-level instructions for daily tasks and detailed guidance for new assignments.
    • Scope: Individual contributor role with a focused scope of work.
    • Shifts: May require working in rotational shifts.

    If you have a strong background in medical billing and payer management, along with excellent communication and organizational skills, apply now to join Accenture and make a meaningful impact in our Health Admin Services team.

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