DE033651-Health Clinical Services Senior Analyst

8003 Accenture Inc Company; Taguig; Presencial; PHP 600.000 - 900.000; Jornada completa

Descripción de la vacante

Health Clinical Services Senior Analyst is a return-to-office role based in Taguig, Philippines. You will support clinical operations and coordinate with US clients on medical coding and claims, ensuring accuracy and compliance.

Ideal candidates hold a US RN license, have at least 3 months of clinical RN experience, and possess strong English communication. Knowledge of ICD-9/ICD-10 and CPT codes is required; BPO experience is a plus.

Formación

• Active US Registered Nurse license required or able to obtain
• 3 months clinical experience (480 hours) as an RN
• Experience in inpatient, outpatient, or community clinic settings
• Strong written and verbal English communication
• Knowledge of ICD-9/ICD-10 and CPT codes
• BPO experience is a plus
• Willingness to work in a return-to-office setting
• Ability to empathize and provide quality customer service

Responsabilidades

• Support clinical operations and patient care processes
• Coordinate with US-based clients for medical coding and claims
• Assist in clinical documentation and data accuracy
• Maintain professional communication with patients and internal teams
• Adhere to licensing and corporate compliance requirements

Conocimientos

RN license

Clinical experience

Customer service

Phone etiquette

English communication

BPO experience

Medical coding knowledge

Educación

BSN/GNM/BSc Nursing/Associate Nursing Diploma

Herramientas

Basic computer skills

Descripción del empleo

Health Clinical Services Senior Analyst

Work Setup: Return to Office

Responsibilities

• Bachelor of Science Nursing (BSN) degree or General Nursing & Midwifery (GNM) Diploma or Basic Bachelor of Science (BSC) in Nursing degree or Associate Nursing Degree or Nursing Diploma
• Three months prior clinical experience, this is equivalent to 480 hours of working experience as an RN
• Working experience as a Registered Nurse means holding an active RN license and providing direct patient care
• Clinical settings include inpatient hospital, outpatient hospital or community clinic (excluding hotel nurse, school, airport, transport, or company nurse. Requires copy of JD from employer and requires internal CVE (clearance via exception).
• Holds current and unrestricted US Registered Nurse license; holds state specific RN licensure as required.
• Excellent written and verbal communication skills in English.
• For voice accounts, must pass US Berlitz B2 level or Versant score of 58 or any language proficiency equivalence.
• Proficiency in basic computer knowledge with the ability to learn additional computer programs.
• 6 months’ prior BPO experience or a minimum of 6 months’ prior working experience as a Registered Nurse in a clinical setting.
• Strong customer service focus
• Ability to empathize
• Prioritizing customer needs
• Listening, patience & action oriented
• Good understanding of phone etiquette
• Knowledge of ICD-9 and ICD-10 and CPT codes
• Experience in medical or insurance field
• PSCCR associates: Claim reviews/audit experience
• 3 Months UM experience OTHERS: Project Shift Schedule: Rotation Project Rest Day: Rotation Project/Team Location: Taguig Uptown Bonifacio Tower 3

Skill and Qualifications

• Bachelor of Science Nursing (BSN) degree or General Nursing & Midwifery (GNM) Diploma or Basic Bachelor of Science (BSC) in Nursing degree or Associate Nursing Degree or Nursing Diploma
• Holds current and unrestricted US Registered Nurse license
• 3 months clinical experience (480 hours of working experience as a RN)
• Work experience as an active RN license and providing direct patient care
• Clinical setting includes inpatient hospital, outpatient hospital or community clinic
• No state license required (doability will be revisited if there's a specific state of RN license needed)
• With at least 3-month UM experience Flex:
• Open to candidates (without UM experience) with Appeals experience #LI-PH

Equal Employment Opportunity Statement

We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.