Welcome Back

Google icon Sign in with Google
OR
I agree to abide by Pharmadaily Terms of Service and its Privacy Policy

Create Account

Google icon Sign up with Google
OR
By signing up, you agree to our Terms of Service and Privacy Policy
Instagram
youtube
Facebook

Health Admin Services Associate-Voice

Accenture
Accenture
1-3 years
Not Disclosed
Bengaluru, India
10 April 14, 2026
Job Description
Job Type: Freelance Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Health Admin Services Associate (Voice) – Bengaluru | Claims Administration | Healthcare Jobs

Company: Accenture
Location: Bengaluru, India
Job Type: Full-Time
Work Mode: Not Specified
Experience: 1–3 Years
Qualification: Any Graduation / Nursing Qualification Preferred


Job Overview

This role focuses on healthcare claims administration, specifically handling claims appeals and medical review processes. The position involves evaluating denied claims, ensuring compliance with medical policies, and supporting accurate and timely resolution of healthcare insurance cases through voice-based interactions.


Key Responsibilities

Claims Appeals Processing

  • Review and process appeals for denied insurance claims
  • Evaluate reasons for denial and gather supporting clinical information
  • Ensure accurate and fair resolution of claims

Medical Review & Decision Support

  • Conduct pre-service and retrospective reviews for inpatient and outpatient requests
  • Apply clinical guidelines, medical policies, and eligibility criteria
  • Route complex cases to clinical reviewers or medical staff when required

Healthcare Claims Administration

  • Manage end-to-end claims lifecycle including registration, verification, and evaluation
  • Support medical management review activities
  • Ensure compliance with regulatory and contractual requirements

Communication & Voice Support

  • Interact with stakeholders through voice-based processes
  • Communicate effectively with claimants and internal teams
  • Maintain professional and accurate documentation of interactions

Required Skills & Qualifications

Education

  • Any Graduate
  • Preferred: Nursing qualifications (BSc Nursing / GNM / Diploma)

Experience

  • 1–3 years of relevant experience
  • Minimum 6 months experience in healthcare/BPO/clinical environment

Technical Skills

  • Basic computer proficiency
  • Understanding of claims processing and medical policies
  • Familiarity with clinical guidelines (e.g., InterQual, Milliman) preferred

Core Competencies

  • Strong communication skills (verbal & written English)
  • Attention to detail and analytical thinking
  • Ability to work under pressure and meet deadlines
  • Problem-solving and decision-making skills
  • Team collaboration and adaptability

Perks & Benefits

  • Opportunity to work in global healthcare operations
  • Exposure to claims management and clinical review processes
  • Structured training and career growth opportunities
  • Dynamic and collaborative work environment

About the Role

This role is critical in ensuring accurate and efficient healthcare claims processing while maintaining compliance with medical and regulatory standards. It offers hands-on experience in claims appeals, medical review, and healthcare operations within a global delivery model.


Salary / Compensation

💰 Not Disclosed (Competitive Package Expected)


Work Mode

📍 Bengaluru, India (Work mode not specified; rotational shifts applicable)