Health Clinical Services Senior Analyst

Accenture; Taguig; On-site; PHP 391,000 - 558,000; Full time

Job summary

Accenture in the Philippines invites applications for Health Clinical Services Senior Analyst. The role requires nursing qualifications, active US RN licensure, and clinical experience to support patient care processes in a BPO/health-services environment.

Candidates must demonstrate excellent written and spoken English, knowledge of ICD-9/10 and CPT codes, and a strong customer-service mindset. This is a Return to Office position based in Metro Manila, with emphasis on data accuracy and

Qualifications

• Bachelor of Science Nursing (BSN) or equivalent nursing degree.

Skills

English communication

Customer service

Empathy

Phone etiquette

Attention to detail

Listening

Education

BSN

GNM Diploma

BSC in Nursing

Nursing Diploma

Associate Nursing Degree

Tools

ICD-9/ICD-10 codes

CPT codes

Job description

POSITION TITLE: 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