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    Health Clinical Services Associate

    Accenture
    1-3 years
    Not Disclosed
    Bangalore
    10 Nov. 7, 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

    Health Clinical Services Associate

    Skill Required: HM-Clinical - Clinical Care Delivery Operations
    Location: [Insert Location]
    Experience: 1-3 Years
    Qualification: BSc. Nursing

    About Accenture

    Accenture is a global leader in professional services, offering unmatched capabilities in digital, cloud, and security. With over 699,000 people serving clients across more than 120 countries, Accenture delivers transformative solutions in Strategy and Consulting, Technology and Operations, and Accenture Song. As we embrace the power of change, we create value and drive shared success for clients, employees, and communities. For more details, visit www.accenture.com.

    Job Overview

    As a Health Clinical Services Associate, you will be part of the Healthcare Claims team, responsible for managing health and wellness care across various care settings. This includes core claim processing activities such as registering claims, claim verification, evaluation, and examination. You will help drive operational efficiencies and ensure superior outcomes in healthcare operations, while supporting the overall health claims administration process.

    Roles and Responsibilities

    • Clinical Care Delivery Operations: You will be responsible for planning and coordinating clinical care delivery, ensuring smooth operations across various care settings.
    • Routine Problem Solving: Address routine challenges following established guidelines, escalating complex issues as needed.
    • Collaboration: Work closely with your team members and direct supervisor, ensuring clear communication and collaboration on tasks and new assignments.
    • Quality Focus: Maintain high standards of quality in health claims processing, ensuring compliance with regulatory requirements, such as HIPAA.
    • Process Adherence: Follow established procedures and workflows, with clear instructions provided for daily tasks and new projects.
    • Shift Work: This position may require flexibility to work in rotational shifts to support healthcare operations.

    Skills and Qualifications

    • BSc in Nursing or equivalent healthcare-related qualification.
    • 1-3 years of relevant experience in clinical care or healthcare operations.
    • Clinical Care Delivery Operations experience is preferred.
    • Ability to adapt and work in a team while maintaining a commitment to quality.
    • Strong written and verbal communication skills.
    • Process-oriented with a focus on healthcare operations and claims administration.
    • Knowledge of HIPAA regulations is a plus.

    What We Are Looking For

    • Adaptability and Flexibility: Ability to thrive in dynamic, fast-paced environments.
    • Teamwork: Strong ability to collaborate and work effectively with others.
    • Commitment to Quality: Maintain high standards and focus on delivering exceptional care and operational efficiency.
    • Communication Skills: Effectively communicate within your team and with supervisors.
    • Attention to Detail: Ensure accurate claims processing and adherence to healthcare standards.

    Why Accenture?

    • Global Reach: Join a team at the forefront of digital transformation in healthcare.
    • Career Development: Access ongoing learning opportunities and career growth.
    • Innovation: Be part of an innovative company that thrives on change and growth.

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