Claims-pd

4 weeks ago

Noida, India Genpact Full time

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. We dream in digital, dare in reality, and reinvent the ways companies work to make an impact far bigger than just our bottom line. We’re harnessing the power of technology and humanity to create meaningful transformation that moves us forward in our pursuit of a world that works better for people. Now, we’re calling upon the thinkers and doers, those with a natural curiosity and a hunger to keep learning, keep growing., People who thrive on fearlessly experimenting, seizing opportunities, and pushing boundaries to turn our vision into reality. And as you help us create a better world, we will help you build your own intellectual firepower. Welcome to the relentless pursuit of better._

**_ _**
- 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_

**_
Job_**_Process Developer_

**_ Primary Location_**_India-Noida_

**_ Schedule_**_Full-time_

**_ Education Level_**_Bachelor's / Graduation / Equivalent_

**_ Job Posting_**_Jan 11, 2023, 9:35:11 AM_

**_ Unposting Date_**_Ongoing_
- Master Skills List_Operations_
- Job Category_Full Time_

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