WE'RE HIRING | Health Admin Services Associate – Healthcare Claims Appeals

Build Your Career in Healthcare Operations with Accenture!

Are you experienced in Medicare Appeals & Grievances? Looking for an opportunity to grow your career in healthcare claims administration? This opportunity is for you!

Location: Mumbai
Client: Accenture
Experience: 1–3 Years
Qualification: Any Graduate
Shift: US Shift
Process: Non-Voice
Work Mode: Work From Office
Notice Period: Up to 45 Days
Employment Type: Permanent

Role Overview

We are looking for detail-oriented professionals with experience in Healthcare Claims Appeals and Administration. You will be responsible for managing end-to-end appeal processing, reviewing clinical documentation, validating claims, and ensuring compliance with healthcare regulations and timelines.

Key Responsibilities

• Handle end-to-end Medicare Appeals and Grievances processing.

• Perform AOR validation and provider outreach.

• Review claim denial reasons and supporting clinical documents.

• Prepare cases for Medical Director review.

• Process appeal determinations and effectuation activities.

• Ensure compliance with CMS regulations and turnaround timelines.

⭐ Required Skills

• Healthcare Claims Administration

• Medicare Appeals & Grievances

• Medicare Part C and Part D Appeals

• CMS Regulations

• End-to-End Appeals Processing

• AOR Validation

• Clinical Documentation Review

• Provider Outreach

• Claims Processing

Who Can Apply?

• Graduates from any discipline.

• Candidates with 1–3 years of relevant healthcare operations experience.

• Hands-on experience in Medicare Appeals and Grievances is mandatory.

• Candidates comfortable working in US shifts and from the Mumbai office.

• Notice period of up to 45 days.

Ready for Your Next Career Move?

If you have experience in Medicare Appeals and Healthcare Claims, this is your chance to take the next step!

Apply Now & Complete the Questionnaire: https://myglit.com/lateral/cref/4be244842a

Don't miss this opportunity – submit your application today!