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Process Associate - Claims

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We are hiring for the role of Process Associate - Claims. Your responsibility will be data entry of personal and provider details, invoice information, procedure & impairment codes. You will also be validating the entered information, selecting accurate pre-authorization, identifying duplicate claims, and taking appropriate action on alerts. Attention to detail and investigative skills are crucial in this role.

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 Noida, 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

Noida, Uttar Pradesh, India

Qualification

Bachelor

Applicants

Be an early applicant

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