PD-Healthcare claims
- Genpact India
- 2 to 4 Yrs
- Jaipur
- 4 years ago
- Email to a friend
- Report this job
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
Responsibilities
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 guidelines
Identify any specific billing patterns or trends from different providers monthly
Communicate and coordinate with the clinical coordinator from client-side
Demonstrate ability to consistently meet or exceed targets and benchmarks
Maintain audit log and prepare and share MI from the audit log
Handle Customer Queries from providers or members via emails.
Qualifications we seek in you
Minimum qualifications
Graduate (Preferably BHMS/BUMS)
Good knowledge of healthcare & medical terminologies
Preferred qualifications
Eye for detail & investigative skills
Good interpretation & comprehension skills
Excellent 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 practice
Customer Orientation and Solution-oriented
Ability to ask the right queries
Ability 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.
Employement Category:
Employement Type: Full timeIndustry: IT - Software Role Category: IT Operations / EDP / MIS Functional Area: Not ApplicableRole/Responsibilies: PD-Healthcare claimsContact Details:
Company: Genpact IndiaLocation(s): Jaipur
Keyskills: data entry customer focus analytical skills internal medicine communication skills go visit color claims twitter surgery clinical medicine religion neurology healthcare analytical medical facebook linkedin
Genpact India
Genpact (NYSE: G) is a global professional services firm focused on delivering digital transformation for our clients, putting digital and data to work to create competitive advantage. We do this by integrating lean principles, design thinking, analytics and digital technologies with our domain and ...
Job Listings
We are in open beta version of website, please let us know if any issues, at: info(at)indigojobs.in