Health Administration Associate - Claims Appeals Voice Process

Health Admin Services Associate

Skill required: Claims Appeals - Claims Administration
Designation: Health Admin Services Associate
Qualifications:Any Graduation
Years of Experience:0to3 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— all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 784,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 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 would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowClaims Appeals involves reviewing and processing appeals for denied insurance claims.
What are we looking for? Conduct pre-service and retrospective Provider and Member Appeals for outpatient and inpatient requests. Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts
Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines