Process Associate
7 hours ago
Role Overview
We are seeking a highly detail-oriented and organized individual to fill the role of Process Associate - Claims. As a key member of our team, you will be responsible for ensuring the accuracy and completeness of information related to personal details, provider details, invoice information, procedure & impairment codes.
Key Responsibilities
- Validate information entered by indexer
- Select accurate Pre-authorization
- Identify duplicate Claims and take appropriate action
- Read and take appropriate action on Alerts related to Members & providers
- Refer cases to calling team for further information
- Labor over Policy & Non-Policy messages
- Interpret, analyze, and further investigate Policy messages on various tools like support point, info site, etc.
- Refer cases to various departments like HCS, TMT, Triage after adjudication as and when required
- Identify Front End Savings by investigating claims to Identify any overcharge, ineligible chargers, contract compliance, Provider or Member Fraud
Requirements
- Any Graduate except technical
- Freshers are eligible
- Good knowledge of healthcare & medical terminologies
- Eye for detail & investigative skills
- Good interpretation & comprehension skills
- Proven experience
About Genpact
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.
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