Job Description - MT - Clinic Auditor (HEA012124)
MT - Clinic Auditor - HEA012124
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.
We are inviting applications for the role of Management Trainee – Clinic Auditor. Should be open to work in any shift as per the business requirement.
Responsibilities
- The candidate will be responsible for conducting audits on healthcare claims to identify any billing aberrancy based on clinical recommendations/judgment and review of invoice, medical documents (if any), and payer specific policies and guidelines.
- Identify any specific billing patterns or trends from different providers on a monthly basis.
- Communicate and coordinate with the clinical coordinator from the client side.
- Demonstrate the ability to consistently meet or exceed targets and benchmarks.
- Maintain an 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!
Preferred Skills
- Strong 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.
- Strong customer orientation – solution-oriented.
- Ability to ask the right queries.
- Ability to prioritize and organize own workload.
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 www.genpact.com and on X, Facebook, LinkedIn, and YouTube.
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.
#J-18808-Ljbffr
