PD-OTC (Healthcare collections)

2 weeks ago

Jaipur, India Genpact Full time

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people – we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI.
 
Inviting applications for the role of Process Developer Healthcare collections

The primary function of a Healthcare Insurance Claims Associate /Collector is to research and review medical claims, obtain necessary information from providers to update/correct claims and to then send to insurance payors to expedite adjudication of claims.

Responsibilities

Contacting payors to collect on outstanding claims
• Research claim denials on behalf of our clients, make determination on proper next step for claim resolution
• Update, correct and rebill medical claims according to proper billing guidelines 
• File Appeals for AR Denial and Auth Denials
• Attention to Detail and Accuracy.
• System savvy – Multi applications.
• Process Daily Correspondence (Mail, Fax, and Emails)
• Provides assistance/resolution to client’s inquiries
• Supports and assists team members
• Maintain a current working knowledge of all healthcare related issues and regulations
• Documents response activities to patient claim inquires following Genpact client guidelines and system tasks and notes
• Performs other related projects and duties as assigned


Candidate will work closely with Internal and External Customers in a friendly and professional manner.

PC literate
• Excel knowledge is required 
• Detail oriented and highly organized 
• Ability to meet deadlines 
• Articulate with good telephone skills and etiquette
• Must be able to work on multiple tasks/projects simultaneously
• Accounts receivable or collections background in a Health Care related field is a plus.
• Relevant years of experience in US healthcare is a plus.
• US healthcare DME experience is a plus


Qualifications we seek in you
Minimum qualifications
• Any Graduate
• Excellent soft skills to deal with the sensitive employee grievances or relations
• Excellent verbal, written, presentation and interpersonal skills in English

Preferred qualifications 
• Relevant Experience

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