Process Associate

3 weeks ago

Metro Manila, Philippines Genpact Services LLC Full time

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people – we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI.
Inviting applications for the role of [Process Associate], [Customer Care]
In this role, the primary function of an Account Associate/Authorization Representative is to make outbound calls to insurance companies to get prior authorization.  Associate may need to contact medical professionals and patients for additional information required for authorization.

Responsibilities
•    Review documents received for the patient, check database to see if requirements are documented for authorization for the insurance company.
•    Contact Insurance companies to obtain prior authorization.
•    Contacting payors to identify what is required to get prior authorization for the patient to receive the device. 
•    Clearly document requirements for the next time authorization is needed.
•    Gather additional information such as timely filing guidelines, contact info for denial resolution, appeal limits.
•    Contact medical professionals/patient for missing information needed. 
•    Attention to Detail and Accuracy.  
•    System savvy – Multi applications.
•    High Call Volumes (Inbound/Outbound).
•    Process Daily Correspondence (Mail, Fax, and Emails)
•    Provides assistance/resolution to client’s inquiries
•    Supports and assists team members
•    Maintain a current working knowledge of all healthcare related issues and regulations
•    Performs other related projects and duties as assigned

Qualifications we seek in you
Minimum Qualifications
•    PC literate including AR software, Microsoft Office with strength in Excel
•    Ability to handle calls in a fast paced call center environment
•    Ability to handle callers in a professional manner
•    Phone etiquette skills required
•    Ability to work independently and as a team member
•    Detail oriented and highly organized
•    Ability to meet deadlines
•   Must be able to work on multiple tasks/projects simultaneously
Preferred Qualifications/ Skills
•    High School Diploma or GED
•    Background in a Healthcare claims/customer service
Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook.
Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.  

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