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 industry expertise to deliver disruptive business outcomes – an approach we call Lean DigitalSM
DATE AND TIME:
25th October, 11.00 AM – 1.00 PM
Venue: Plot No 1, Jawahar Lal Nehru Marg, near Venkateshwara Temple, Sector 9, Malviya Nagar, Jaipur, Rajasthan 302017
- Experience: 00-03 +Years
- Qualification: B.B.A/ B.M.S ,B.Com ,B.A ,B.Sc
- Job Location: Jaipur
- Role : Claims Processing
- Openings: 18
Job Description
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
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