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Process Associate - Claims

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We are hiring for the role of Process Associate - Claims. In this role, your responsibilities will include data entry of personal details, provider details, invoice information, procedure codes, and impairment codes. You will also be responsible for validation of information, checking and selecting accurate pre-authorization, identifying duplicate claims, and taking appropriate action. Additionally, you will be reading and taking action on alerts related to members and providers, referring cases to the calling team for further information, and looking after policy and non-policy messages. Your role will also involve interpreting, analyzing, and investigating policy messages, and referring cases to various departments as required. You will also be responsible for identifying front end savings by investigating claims for any over charge, ineligible chargers, contract compliance, and provider or member fraud.

We are inviting applications for the role of Process Associate - Claims
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
 

Set alert for similar jobsProcess Associate - Claims role in Jaipur, India
Genpact Logo

Company

Genpact

Job Posted

a year ago

Job Type

Full-time

WorkMode

On-site

Experience Level

0-2 Years

Category

Operations

Locations

Jaipur, Rajasthan, India

Qualification

Bachelor

Applicants

Be an early applicant

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