Process Assosiate

With more than 180,000 people in over 40 countries, Capgemini is one of the world's foremost providers of consulting, technology and outsourcing services. The Group reported 2015 global revenues of EUR 11.9 billion. Together with its clients, Capgemini creates and delivers business, technology and digital solutions that fit their needs, enabling them to achieve innovation and competitiveness. A deeply multicultural organization, Capgemini has developed its own way of working, the Collaborative Business ExperienceTM, and draws on Rightshore its worldwide delivery model.Capgemini in India has over 87,000 people and presence in nine cities (Mumbai, Gurgaon, Bangalore, Hyderabad, Pune, Kolkata and Chennai - Trichy and Salem). A pioneer in the IT industry, Capgemini has over 45 years of global expertise collaborating with leading corporations and now brings the Consulting, Technology and Outsourcing experience to India. With dedicated teams to service the local markets, Capgemini has strong domain experience to assist clients across the Government and Public Sector, Energy and Utilities, Manufacturing, Telecom and Financial Services sectors and help them advance in their respective industries.

Website: www.capgemini.com

Profile Offered: Process Assosiate

Job Location: Noida

Course Specialization: Any Graduate(B.com/BBA will be preferred)

Desired Experience: 0 - 0 Years

Roles and Responsibilities:

o Calls insurance to confirm receipt of claim
o Calls insurance to request claim be adjudicated
o Following up on the claims send for adjudication.
o Gathers all required appeal information for denied cases to assist in drafting the appeal
o Updates information in practice management software: Billing notes and status.
o Request client if additional medical records are needed.
o Confirms payment details if claim was paid, including payment details, date and sets follow up task
o To maintain daily productivity report.
o To draw OCR (Open Claim Report) from the system
o To prioritize the pending claims for calling from the aging basket
o To schedule the calls as prioritized to US carries and patients by considering the time zone difference
in IST and US time-zone applicable
o To make a physical call by following the international norms and applicable rules for confidentiality
and HIPAA compliance
o To report the outcome of the call in the appropriate system and to advise the team in data-team in
RCM for corrective action.

To know more please visit www.naukri.com/job-listings-Capgemini-walkin-freshers-Capgemini-Technology-Services-India-Limited-Noida-0-to-0-years-020719004390?src=jobsearchDesk&sid=15620640662939&xp=48&px=1