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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: 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. Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song—powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in over 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 You Will Do:
In this role, you will embed digital transformation in healthcare operations end-to-end, driving superior outcomes and enabling streamlined operations to meet the demands of the evolving healthcare market. As part of the Healthcare Claims team, you will be responsible for:

  • Administering health claims, including core claim processing tasks such as registering claims, editing and verification, claims evaluation, and examination and litigation.
  • Planning and coordinating health and wellness initiatives across various care settings.

What We’re Looking For:
Candidates should demonstrate:

  • Strong knowledge of Clinical Care Delivery Operations.
  • Adaptability and flexibility in dynamic environments.
  • Excellent teamwork skills and a commitment to quality.
  • Strong written and verbal communication abilities.
  • Process-oriented mindset and knowledge of Health Insurance Portability & Accountability Act (HIPAA) regulations.

Roles and Responsibilities:

  • Solve routine problems using established precedents and general guidelines.
  • Interact primarily with your own team and direct supervisor.
  • Receive detailed to moderate instruction on daily tasks and specific guidance on new assignments.
  • Make decisions that impact your own work and contribute as an individual within a focused team scope.

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