Genpact Life Sciences Jobs
Genpact Life Sciences Job available for Process Associate role. Genpact is hiring life sciences candidates for its Jaipur Location. Genpact Life Sciences Jobs. Interested and eligible students are requested to go through the details:
Job Title: Process Associate – Claims-HEA002738
Education Level: Bachelor’s / Graduation / Equivalent
Master Skills: List Operations
Job Category: Full Time
Functions: To assess claims products to ensure that benefit spend is in accordance with the policies and rules relevant to our members’ policies and contracted agreements with providers of Healthcare.
- B.Sc. Life Science
- Good knowledge of healthcare & medical terminologies
- Eye for detail & investigative skills
- Good interpretation & comprehension skills
- Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes
- Validation of information entered by indexer
- Check & Select correct Preauthorization
- 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
- Validating information entered by data Entry Operator
- 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 overcharge, ineligible chargers, contract compliance, Provider or Member Fraud