Process Associate – Claims 80 views

With a startup spirit and 90,000+ curious and courageous minds, we have the expertise to go deep with the world s biggest brands and we have fun doing it. Now, we re calling all you rule-breakers and risk-takers who see the world differently, and are bold enough to reinvent it. Come, transform with us.

Are you the one we are looking for

We are inviting applications for the role of Process Associate – Claims

In this role, you will be responsible for Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes Responsibilities

  • Validation of information entered by indexer
  • Check & Select accurate Pre-authorization
  • Identify duplicate Claims and take appropriate action
  • Reading & taking appropriate action on Alerts related to Members & providers.
  • Referring case to calling team for further information
  • Looking after Policy & Non-Policy messages
  • Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc.
  • Referring cases to various department like HCS, TMT, Triage after adjudication as and when required
  • Identify Front End Savings by investigating claims to Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud

Qualifications we seek in you

Minimum qualifications

  • Any Graduate except technical
  • Freshers are eligible

Preferred qualifications

  • Good knowledge of healthcare & medical terminologies
  • Eye for detail & investigative skills
  • Good interpretation & comprehension skills
  • Proven experience

Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation. For more information, visit www.genpact.com. Follow us on Twitter, Facebook, LinkedIn, and YouTube.

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