PA - Claims
Genpact
2 - 5 years
Jaipur
Posted: 3/5/2025
Job Description
Responsibilities
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Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes
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Validation of information entered by indexer and data Entry Operator
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Check & Select correct Pre-authorization
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Identify duplicate Claims and take appropriate action
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Reading & taking appropriate action on Alerts related to Members & providers.
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Referring case to calling team for further information
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Dealing with Policy & Non Policy messages
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Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc.
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Interpretation of hospital contracts & taking appropriate action basis that
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Referring cases to various department like HCS, TMT, Triage after adjudication as and when required
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Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud
Qualifications we Genpact is a global professional services firm that offers a wide range of digital transformation services and solutions. With a presence in over 30 countries, Genpact leverages its deep domain expertise in operations and analytics to help businesses transform their operations, improve efficiency, and enhance customer experience. The company combines digital technology, data science, and operational excellence to deliver business outcomes across various industries, including banking, insurance, manufacturing, and healthcare. Founded in 1997 as a subsidiary of GE, Genpact has grown into an independent, NYSE-listed company with a diverse workforce of over 90,000 employees globally.About Company
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