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Health Clinical Services Associate

1-3 years
Not Disclosed
10 Oct. 30, 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 Clinical Services Associate
Skill Required: HM-Clinical - Clinical Care Delivery Operations
Qualifications: BSc. Nursing
Experience: 1 to 3 years

About Accenture:
Accenture is a global professional services company with leading capabilities in digital, cloud, and security. We combine unmatched experience and specialized skills across more than 40 industries, offering Strategy and Consulting, Technology and Operations services, and Accenture Song. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in over 120 countries. We embrace change to create value and shared success for our clients, people, shareholders, partners, and communities. Visit us at www.accenture.com.

What You Will Do:
You will play a key role in embedding digital transformation in healthcare operations, driving superior outcomes and enabling streamlined operations for the emerging healthcare market. As part of the Healthcare Claims team, you will be involved in the administration of health claims, including:

  • Core claim processing tasks such as registering claims, editing and verification, claims evaluation, and examination.
  • Planning and coordinating health and wellness across various care settings.

What We’re Looking For:
We seek individuals with a strong foundation in Clinical Care Delivery Operations who are adaptable, flexible, and able to work well in a team. A commitment to quality and strong written and verbal communication skills are essential. Familiarity with the Health Insurance Portability & Accountability Act (HIPAA) is a plus.

Roles and Responsibilities:

  • Solve routine problems using established guidelines and precedents.
  • Interact primarily within your team and with your direct supervisor.
  • Receive detailed to moderate instructions for daily tasks and comprehensive instructions for new assignments.
  • Make decisions that impact your own work.
  • Contribute as an individual within a team, focusing on a predetermined scope of work.

Please Note: This role may require you to work in rotational shifts.