AM-OTC(RCM)

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At Genpact, we dont just adapt to changewe drive it. AI and digital innovation are redefining industries, and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges.
If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team thats shaping the future, this is your moment.
Genpact (NYSE: G) is anadvanced technology services and solutions company that deliverslastingvalue for leading enterprisesglobally.Through ourdeep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead.Powered by curiosity, courage, and innovation,our teamsimplementdata, technology, and AItocreate tomorrow, today.Get to know us atgenpact.comand onLinkedIn,X,YouTube, andFacebook.

Inviting applications for the role of Assistant Manager, Unbilled Claims Management Specialist Home Care Pharmacy!
We are looking for a proactive and detail-driven Unbilled Claims Management Specialist to join our billing operations team. This role focuses on identifying, analyzing, and resolving unbilled claims within our US-based Home Care Pharmacy services. The ideal candidate will have a solid understanding of pharmacy billing workflows, payer requirements, and claims resolution strategies.
Responsibilities
Monitor and manage unbilled claims to ensure timely submission and reimbursement.
Investigate root causes of unbilled claims and implement corrective actions.
Collaborate with pharmacy, intake, and billing teams to resolve documentation or authorization issues.
Track and report on unbilled claim volumes, aging, and resolution status.
Ensure compliance with payer-specific billing guidelines and regulatory requirements.
Escalate unresolved issues to appropriate stakeholders and follow through to resolution.
Maintain accurate records and documentation for audit and compliance purposes.

Qualifications we seek in you!
Minimum Qualifications / Skills
Must have B.Com or M.Com degree

Preferred Qualifications/ Skills
Experience in unbilled claims management or billing in a US-based Home Care Pharmacy or healthcare setting.
Strong knowledge of insurance billing processes, including Medicare, Medicaid, and commercial payers.
Familiarity with pharmacy billing systems and EHR platforms.
Excellent analytical, organizational, and communication skills.
Ability to work independently and prioritize tasks in a fast-paced environment.
Experience with pharmacy billing software (e.g., CPR+, FrameworkLTC, QS/1).
Understanding of prior authorization and documentation requirements for home infusion or specialty pharmacy services.
Knowledge of HIPAA and healthcare compliance standards.

Work Environment
o Operate within a structured framework but is you are expected to be proactive and analytically independent in your own area of responsibility

Employment Type: Full-Time

Shift: [US Shift/Night Shift EST/EDT hours]

Why join Genpact?
Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation
Make an impact Drive change for global enterprises and solve business challenges that matter
Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities
Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day
Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress
Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up.
Lets build tomorrow together.

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 respect and integrity, customer focus, and innovation.
Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.