Health Admin Services Associate - INC

Overview

Health Admin Services Associate in the Healthcare Claims team, responsible for the administration of health claims, including core claim processing and appeals and grievance handling.

What you'll do

• Resolve complex case escalations.
• Support regulations, compliance, and policy interpretation.
• Conduct quality reviews and calibration sessions.
• Deliver process training and refreshers.
• Drive process improvement initiatives.
• Support IDR and Correspondence workflows.
• Perform analysis and solving of lower-complexity problems.

What you'll need

• Any graduation degree.
• Graduate degree.
• 4 to 6 years of Appeals and Grievance experience.
• Subject Matter Expertise in Appeals (Commercial and/or Medicare).

Nice to have

• Experience supporting audits and client reviews.
• Process transition and training experience.

Details

• Location: Navi Mumbai.
• May require working in rotational shifts.
• Day-to-day interaction is with peers within Accenture before updating supervisors; limited exposure with clients and/or Accenture management.
• Receives moderate level instruction on daily tasks and detailed instructions on new assignments.
• Individual contributor as part of a team, with a focused scope of work.