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Healthcare - PA

2.00 to 5.00 Years   Jaipur   16 Mar, 2023
Genpact India Pvt Ltd
Job LocationJaipur
EducationNot Mentioned
SalaryNot Disclosed
IndustryIT - Software
Functional AreaBio Tech / R&D / Scientist
EmploymentTypeFull-time

Job Description

    Inviting applications for the role of Process Associate, Healthcare Claims In this role, you will be responsible of Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes Responsibilities The candidate will be responsible for conducting audits on healthcare claims to identify any billing aberrancy basis the clinical recommendations/judgment and review of the invoice, medical documents (if any), and payer-specific policies and guidelines Identify any specific billing patterns or trends from different providers monthly Communicate and coordinate with the clinical coordinator from client-side Demonstrate ability to consistently meet or exceed targets and benchmarks Maintain audit log and prepare and share MI from the audit log Handle Customer Queries from providers or members via emails. Qualifications we seek in you Minimum qualifications Graduate (Preferably BHMS/BUMS) Good knowledge of healthcare & medical terminologies Preferred qualifications Eye for detail & investigative skills Good interpretation & comprehension skills Excellent medical/clinical Knowledge across specialties, such as internal medicine, surgery, orthopedics, neurology, etc. Excellent communication skills (written & verbal) Demonstrable analytical skills specific to clinical audit in practice Customer Orientation and Solution-oriented Ability to ask the right queries Ability to prioritize and organize own workload,

Keyskills :
internal medicinesurgery

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