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Accenture

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3.9

based on 52.9k Reviews

Proud winner of ABECA 2024 - AmbitionBox Employee Choice Awards

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27796 Accenture Jobs

Health Admin Services Specialist

Accenture Solutions Pvt Ltd

3.9

based on 52.9k Reviews

7-12 years

Gurgaon / Gurugram

Health Admin Services Specialist

Accenture

posted 1d ago

Job Role Insights

Flexible timing

Key skills for the job

Medical Coding Medical Billing Team Handling Radiology US Healthcare Claims Adjudication

+ 10 more

Job Description

Skill required: Billing - Payer Eligibility & Enrollment

Designation: Specialist

Qualifications:Any Graduation

Years of Experience:7-12 years

What would you do?

Good experience of medical billing with healthcare billing and/or physician office billing experience. And insurance verification with a focus on US healthcare revenue cycle management

Ability to coordinate with US clinic and Central billing office in the US to clear all outstanding. Capability to converse clearly and precisely with US counterpart either by phone or by email

Understanding of CPT codes and diagnosis codes

Excellent written and verbal communication skills

Good skills in MS Office Suite, Health related application/systems preferred

What are we looking for?
Bachelor's degree in finance, Accounting, Healthcare Administration, or a related field. Experience in medical billing, a strong understanding of medical terminology, and proficiency in ICD10 and CPT coding. Excellent written communication skills, capable of handling billing inquiries and documentation with professionalism and clarity. Detailoriented with the ability to identify billing errors and initiate corrective action. Strong organizational skills, with the capacity to manage multiple tasks and prioritize effectively in a fastpaced environment.

Roles and Responsibilities:

Excellent Knowledge of comprehensive RCM processing including claims submission, charge entries/payment postings, Aging/AR followup is desirable.

Knowledge of insurance and benefit verification process is desirable

Handling Third party insurance claim billing in health and follow up associated with the dispensing of prescription medication using the bill method required by the payer.

Responsible for Transmit or submit claims (paper, electronic) to insurance payers for reimbursement.

Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes, and pharmacy or shipping errors.

Reviews Denials and resolve with the course of action with insurance companies.

Follows up and drives next steps for both clinical and nonclinical denials and reports status of delinquent accounts.

Review payment posting from insurance companies and patients.

Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims

Maintain patient demographic information in data collections systems.

Good experience in preparing billing report and status of queues while remaining in accordance with payer and company policy guidelines.

Research and respond by telephone, via the internet, and in writing to patients, physician's offices, insurance companies, and governmental payers regarding billing issues and problems as well to expedite claims processing

Qualifications
Any Graduation

Employment Type: Full Time, Permanent

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