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Company Name : Genpact
Location : Jaipur, Rajasthan
Position : Process Associate – Healthcare Payors
Job Description : 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.
Transformation happens here. Come, be a part of our exciting journey!
Are you the one we are looking for?
Inviting applications for the role of Process Associate, Healthcare Claims!
In this role, you will be responsible of Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes
The candidate will be responsible for conducting audits on healthcare claims to identify any billing aberrancy basis the clinical recommendations/judgment and review of the invoice, medical documents (if any), and payer-specific policies and guidelinesIdentify any specific billing patterns or trends from different providers monthlyCommunicate and coordinate with the clinical coordinator from client-sideDemonstrate ability to consistently meet or exceed targets and benchmarksMaintain audit log and prepare and share MI from the audit logHandle Customer Queries from providers or members via emails.
Qualifications we seek in you!
Graduate (Preferably BHMS/BUMS)Good knowledge of healthcare & medical terminologies
Eye for detail & investigative skillsGood interpretation & comprehension skillsExcellent medical/clinical Knowledge across specialties, such as internal medicine, surgery, orthopedics, neurology, etc.Excellent communication skills (written & verbal)Demonstrable analytical skills specific to clinical audit in practiceCustomer Orientation and Solution-orientedAbility to ask the right queriesAbility to prioritize and organize own workload
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.
Education LevelBachelor’s / Graduation / Equivalent
Job PostingFeb 14, 2022, 2:44:28 AM
Master Skills ListOperations
Job CategoryFull Time
This post is listed Under Jaipur jobs
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