Skill required: Order to Cash - Collections Processing
Designation: Service Delivery Ops Analyst
Qualifications:Any Graduation,Chartered Accountant
Years of Experience:3 - 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 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? • 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

Any Graduation,Chartered Accountant

About Accenture

Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with 750,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song. These capabilities, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities. Visit us at www.accenture.com

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