Demo

Medical Claims Agent

Accenture
Knoxville, TN Full Time
POSTED ON 11/15/2024 CLOSED ON 1/12/2025

What are the responsibilities and job description for the Medical Claims Agent position at Accenture?

ACCENTURE's Flexible Workforce solves clients’ toughest challenges by providing cross-industry expertise, unmatched innovation, World-class tech and talent. We help bring it all together to deliver tangible business outcomes for our clients with contractors and our extended workforce opportunities. Accenture is consistently recognized on FORTUNE’s 100 Best Companies to Work for and Diversity Inc’s Top 50 Companies for Diversity lists. And that's just the beginning. Now is the perfect time for you to consider opportunities through our Flexible Workforce. What's In It For You: Collaborate with a diverse network of people Actively deliver innovative solutions for Accenture's clients Apply your skills and experience to help drive business transformation Work locally or remotely, significantly reducing or eliminating the demands to travel ACCENTURE's Flexible Workforce solves clients’ toughest challenges by providing cross-industry expertise, unmatched innovation, World-class tech and talent. We help bring it all together to deliver tangible business outcomes for our clients with contractors and our extended workforce opportunities. Accenture is consistently recognized on FORTUNE’s 100 Best Companies to Work for and Diversity Inc’s Top 50 Companies for Diversity lists. And that's just the beginning. Now is the perfect time for you to consider opportunities through our Flexible Workforce. What's In It For You: Collaborate with a diverse network of people Actively deliver innovative solutions for Accenture's clients Apply your skills and experience to help drive business transformation Work locally or remotely, significantly reducing or eliminating the demands to travel Project Description: As a Healthcare Claims Insurance Processor, you will be provided 22 weeks of paid training to enable you to be successful in the position. All training will take place in office. Once training has been successfully completed this role will be 100% remote. Performance coaching & collaboration will be provided throughout your employment to drive engagement. All Computer/Technology hardware will be provided to enable your success but must be picked up in person from the local office located in Louisville, TN (and returned to the same location if you decide to pursue other opportunities). You must live within a 90-mile radius of Knoxville, TN. Responsibilities: The Healthcare Claims Processor will actively support our healthcare client by processing and/or adjusting typical and non-typical healthcare claims and appeals. Perform extensive research to process and/or adjust healthcare claims and appeals Use multiple healthcare-related operating systems and tracking tools simultaneously Occasionally encounter non-typical healthcare claims Actively utilize critical thinking skills to determine when to seek advice or escalate issues Basic Qualifications: High School Diploma or GED 1 year of professional work experience with solid tenure in each role High proficiency with Microsoft Office Suite, especially Excel and Outlook Strong computer proficiency focusing on multiple systems input Excellent critical thinking skills with the ability to make decisions regarding the decision to pay or deny claims Excellent reading comprehension due to the high volume of data required to complete the claims process Bonus Points If You Have: Bachelor’s Degree in Science or related field 1 year of Medical Claims processing experience Knowledge and experience in any workstream of US healthcare Keywords: Medical Claims, Billing, Insurance, Medical Receptionist, Excel, Medical Coding, Multiple systems input, Customer Service, Data Entry, Call Center, Customer Support, Administrative Assistant, Help Desk, Office Administrator, typing, Healthcare Claims, Claims Clerk, Data Transcription, Transcribe, Claims Processing, Account Agent, Enrollment Representative, Policy Services What We Believe We have an unwavering commitment to diversity with the aim that every one of our people has a full sense of belonging within our organization. As a business imperative, every person at Accenture has the responsibility to create and sustain an inclusive environment. Inclusion and diversity are fundamental to our culture and core values. Our rich diversity makes us more innovative and more creative, which helps us better serve our clients and our communities. Read more here Equal Employment Opportunity Statement Accenture is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion or sexual orientation. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Accenture is committed to providing veteran employment opportunities to our service men and women. For details, view a copy of the Accenture Equal Opportunity and Affirmative Action Policy Statement. Requesting An Accommodation Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired. If you would like to be considered for employment opportunities with Accenture and have accommodation needs for a disability or religious observance, please call us toll free at 1 (877) 889-9009, send us an email or speak with your recruiter. Other Employment Statements Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States. Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration. Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.

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