PD, Credit Control Accounting
In this role, you will be responsible to Work closely with and within healthcare operations management team. You are to maintain, revise or develop workflow and reporting tools as needed (snapshots, dashboards, etc.)
Responsibilities
Utilize workflow and reporting tools to ensure operational compliance and call out operational issues when vital
Assist with operational quality review
Develop and maintain understanding of applicable software packages
Work with operational leadership to establish processes, procedures, and metrics to use for team or individual measurement
Assist operational leadership with transitioning of new clients / projects
Prioritize workload
Prepare applicable reports and attend select meetings at request of management
Mentoring and developing staff
Develop an environment that fosters continuous performance improvement
Implement appropriate mechanisms to identify, understand and call out performance gaps and/or performance breakthroughs
All other duties assigned to maintain Process Health and Hygiene
Closely monitor inputs on cash received and match it appropriately either fully or partially as per scenario in ledger.
Raise query for incorrect remittance received or disconnect in remittance.
Ability to research on missing payment, glitch against due vs receipts and raising the appropriate query with broker and onshore.
Sending weekly, fortnightly or monthly follow up broker for their overdue payments. Update the latest information received from broker into CODA
Sending broker statement reconciliation or performing broker reconciliation received from Broker or onshore and prepare with accuracy and within agreed timelines.
Preparing all month and weekly reports for debtors
Performing claims matching
Qualifications
Minimum qualifications
B.Com Graduate
Relevant experience in OTC
Excellent Interpersonal Skills
Preferred qualifications
In Depth Knowledge of providers, insurance, and US healthcare system
familiarity with ICD-10, CPT-4, HCPCS, 1500 and UB04 and other appropriate medical terminology
Familiarity with Medical Billing software
MS-Office skills
Analytical ability for reporting and dashboards, also requires heightened attention to detail to ensure accuracy in output
Ability to multi-task and handle contending priorities and work with minimal direction
Fluent in English (written and spoken); additional languages a plus
Experience working on International insurance collection process/OTC is a must
Experience of talking to client and broker related to query, process discussion, reconciliation discussion etc.
Should have a sound accounting understanding and analytical bent
Should have to ability to do research on various system
Must be taking client calls and managing clients and broker
Ability to handle varied volumes of workloads and to reach targets and deadlines on a timely basis
Innovative and always looking for continuous improvement
Good Communication skills
Analytically & Academically sound
Insurance/ Reinsurance Cash Application background would be an added advantage
Good Excel & Presentation skills
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