Medical Billing Associate
About The Position
The Medical Billing Associate supports a U.S. healthcare client by researching, entering data, and processing or adjusting healthcare appeals and claims across multiple systems and tracking tools. The role applies detailed process knowledge to assess and resolve complex issues, troubleshoot processing guidelines, and advise others as a recognized subject matter expert. The associate handles standard and non-standard issues and escalates tasks outside established standard operating procedures when necessary. The position is based in Knoxville, Tennessee, and the location is non-negotiable; candidates must meet Accenture’s Primary Residential Location policy for the Knoxville office.
Requirements
- At least 1 year of experience in quality auditing and/or claims processing.
- Meet Accenture’s Primary Residential Location policy for the Knoxville, Tennessee office.
- Ability to work scheduled shifts as assigned.
- Availability to work overtime when required.
- Strong analytical and problem-solving skills.
- Ability to accurately process and document healthcare claims in multiple systems.
- Ability to follow structured workflows and compliance standards.
- Ability to identify discrepancies and escalate issues according to standard operating procedures.
- Effective communication and collaboration abilities.
- Ability to adapt to changing priorities and manage multiple tasks.
Nice To Haves
- Experience in outsourcing operations.
- Knowledge and experience in any work stream of U.S. healthcare.
Responsibilities
- Research and process healthcare appeals and claims using multiple systems and tracking tools.
- Validate claim accuracy and ensure compliance with regulatory requirements.
- Perform root cause analysis for claim discrepancies and implement corrective actions.
- Enter accurate data into designated platforms in accordance with client processes.
- Apply healthcare process and systems knowledge to resolve complex issues.
- Troubleshoot and provide guidance on processing guidelines as needed.
- Identify and escalate issues outside standard operating procedures.
- Maintain compliance with client-specific workflows and documentation standards.
- Collaborate with internal teams to ensure timely resolution of claims and appeals.
- Monitor and report claim status and processing metrics.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Life insurance
- Long-term disability coverage
- 401(k) plan
- Bonus opportunities
- Paid holidays
- Paid time off
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
