Am-otc(Rcm)

4 days ago


Noida Uttar Pradesh, India Genpact Full time

Ready to shape the future of work?_
- At Genpact, we don’t just adapt to change—we drive it. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory, our industry-first accelerator, is an example of how we’re scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies’ most complex challenges._
- If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that’s shaping the future, this is your moment._

**_ _**
- Responsibilities_
- _Monitor and manage unbilled claims to ensure timely submission and reimbursement._
- _Investigate root causes of unbilled claims and implement corrective actions._
- _Collaborate with pharmacy, intake, and billing teams to resolve documentation or authorization issues._
- _Track and report on unbilled claim volumes, aging, and resolution status._
- _Ensure compliance with payer-specific billing guidelines and regulatory requirements._
- _Escalate unresolved issues to appropriate stakeholders and follow through to resolution._
- _Maintain accurate records and documentation for audit and compliance purposes._
- Qualifications we seek in you_
- Minimum Qualifications / Skills_
- _Must have B.Com or M.Com degree_

**_ _**

**_ _**
- Preferred Qualifications/ Skills_
- _Experience in unbilled claims management or billing in a US-based Home Care Pharmacy or healthcare setting._
- _Strong knowledge of insurance billing processes, including Medicare, Medicaid, and commercial payers._
- _Familiarity with pharmacy billing systems and EHR platforms._
- _Excellent analytical, organizational, and communication skills._
- _Ability to work independently and prioritize tasks in a fast-paced environment._
- _Experience with pharmacy billing software (e.g., CPR+, FrameworkLTC, QS/1)._
- _Understanding of prior authorization and documentation requirements for home infusion or specialty pharmacy services._
- _Knowledge of HIPAA and healthcare compliance standards._

**_ _**
- _Work Environment_
- o Operate within a structured framework but is you are expected to be proactive and analytically independent in your own area of responsibility_
- Employment Type: Full-Time_

**_ _**
- Shift: [US Shift/Night Shift EST/EDT hours]_

**_ _**
- Why join Genpact?_
- _Be a transformation leader - Work at the cutting edge of AI, automation, and digital innovation_
- _Make an impact - Drive change for global enterprises and solve business challenges that matter_
- _Accelerate your career - Get hands-on experience, mentorship, and continuous learning opportunities_
- _Work with the best - Join 140,000+ bold thinkers and problem-solvers who push boundaries every day_
- _Thrive in a values-driven culture - Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress_
- Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up._
- Let’s build tomorrow together._
- 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 respect and integrity, customer focus, and innovation._

**_
Job_**_Assistant Manager_

**_ Primary Location_**_India-Noida_

**_ Schedule_**_Full-time_

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

**_ Job Posting_**_Aug 21, 2025, 4:33:23 PM_

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


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