PA - Claims
Genpact
2 - 5 years
Lucknow
Posted: 3/5/2025
Job Description
Responsibilities
Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes
Validation of information entered by indexer and data Entry Operator
Check & Select correct 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
Dealing with Policy & Non Policy messages
Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc.
Interpretation of hospital contracts & taking appropriate action basis that
Referring cases to various department like HCS, TMT, Triage after adjudication as and when required
Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud
Minimum Qualifications
Graduate
Preferred Qualifications
B.Sc. Life Science
Good knowledge of healthcare & medical terminologies
Eye for detail & investigative skills
Good interpretation & comprehension skills
About Company
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.
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