Accenture is hiring for the position of Health Admin Services Associate – INC in Navi Mumbai. The role focuses on healthcare claims administration, particularly Medicare Part C and Part D Appeals and Grievances processing.
Candidates with a graduation degree and experience in healthcare operations, Medicare appeals, and claims administration can apply for this opportunity.
Job Details
| Particulars | Details |
|---|---|
| Company | Accenture |
| Job Role | Health Admin Services Associate – INC |
| Job Location | Navi Mumbai |
| Qualification | Any Graduation |
| Experience | 1–3 years |
| Primary Skill | Claims Appeals – Claims Administration |
| Job Type | Full-time |
| Requisition ID | AIOC-S01672235 |
| Work Shifts | Rotational shifts may be required |
Job Responsibilities
Selected candidates will be responsible for:
- Handling end-to-end healthcare appeals processing.
- Performing AOR (Appointment of Representative) validation and provider outreach.
- Reviewing denial rationale and supporting clinical documentation.
- Preparing cases for Medical Director review.
- Processing determinations and effectuation activities.
- Supporting healthcare claims administration and claims processing activities.
Eligibility and Qualifications
- Graduate degree in any discipline.
- Healthcare operations experience.
- Experience in Medicare Appeals and Grievances processing.
- Knowledge of Medicare Part C and Part D Appeals.
- Understanding of CMS regulations and turnaround requirements.
Required Skills
- Claims Administration
- Medicare Appeals and Grievances Processing
- Medicare Part C and Part D
- AOR Validation
- Provider Outreach
- Clinical Documentation Review
- Denial Rationale Assessment
- Claims Processing
About the Role
The selected candidate will join Accenture’s Healthcare Claims team, which handles healthcare claims administration and core claims processing activities, including claim registration, editing, verification, evaluation, examination, and litigation.
The position involves working on Medicare appeals, reviewing supporting documentation, coordinating provider outreach, and processing appeal determinations.
