Medical Claims Processor
- Job Category: Other
- Salary: $15.00/hr
- Education: High School Graduate
- FT/PT: Full-Time
- Company: Accenture
ACCENTURE CONTRACTOR EXCHANGE Solves clients toughest challenges by providing unmatched services in strategy, consulting, digital, technology, operations and security. Develop and enhance your skills and experience, working across diverse teams, projects, and industries.
This position will start out working remotely and transition into the office as soon as it is safe to bring employees back to work. Candidate must be local to the Knoxville/Louisville, TN Location
Our agents work hard and play hard in an office that boasts a vibrant, supportive culture and amenities such as an onsite café, visiting food trucks, basketball, ping pong, and occasional cookouts. This fast-paced, multi-tasking, metrics-driven role is a great opportunity for those looking to transition into a new career field.
Our agents enjoy a Monday-Friday/8:30am-5:30 pm schedule and complete a paid training class to help set them up for success.
The Medical Policy Claims and Research Agent will perform extensive research to process and or adjust healthcare claims and appeals, using multiple healthcare-related operating systems and tracking tools simultaneously to resolve complex insurance claims issues in a healthcare environment. The Policy Claims and Research Agent will encounter both typical and non-typical Healthcare Claims. The agent will use critical thinking skills to determine when to seek advice or escalate issues when faced with tasks outside of the normal Standard Operating Procedure dictated by the client.
HS Diploma or GED
Minimum 1 year professional work experience with good tenure in roles
Minimum 1 year Microsoft Suite with high proficiency in Microsoft Excel/Outlook
Strong computer proficiency focusing on multiple systems input
High degree of critical thinking skills with the ability to make decisions regarding the decision to pay or deny claims
Excellent reading comprehension due to high volume of data required to complete claims process
Bachelors Degree in Science or related field is preferred but not required
Knowledge and experience in any work stream of US health care is also a plus
Strong attention to detail