Company Name: Genpact
Job Role: Process Associate Healthcare Claims
Education: Any Graduate
- 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
- 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
- Any Graduate except technical
- Freshers are eligible
- Good knowledge of healthcare & medical terminologies
- Eye for detail & investigative skills
- Good interpretation & comprehension skills
- Proven experience
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