6 Claims Appeals Jobs

Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We e...

Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We e...

Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We e...

Role Overview: As a Health Admin Services Analyst at Accenture, your primary responsibility will be to provide support to the clinical team and client team in order to promote quality member outcomes, optimize member benefits, and ensure effective use of resources. Your role will involve supporting procedures that ensure adherence to medical policy and member benefits, delivering services that are medically appropriate, high quality, and cost-effective. You will also be involved in utilization management, case management, and disease management by gathering information using client-specific telephonic screening tools. Key Responsibilities: - Manage incoming and outgoing telephone calls, e-Re...

As a Health Admin Services Associate at Accenture, your role involves providing support to the clinical team and client team to promote quality member outcomes, optimize member benefits, and ensure effective resource utilization. Your responsibilities include the following: - Supporting procedures to ensure adherence to medical policy and member benefits for providing medically appropriate, high-quality, and cost-effective services. - Conducting pre-review screenings using client-specific telephonic screening tools under the guidance of US licensed health professionals. - Providing support for wellness programs, health management programs, and preventative care opportunities for members. - G...

Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Associate Qualifications: Any Graduation Years of Experience: 1 to 3 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 worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We ...