Customer Service

Found in: Appcast US C2 - 2 weeks ago


Danville, United States Genpact Full time

With a startup spirit and 115,000 + curious and courageous minds, we have the expertise to go deep with the world’s biggest brands—and we have fun doing it We dream in digital, dare in reality, and reinvent the ways companies work to make an impact far bigger than just our bottom line. We’re harnessing the power of technology and humanity to create meaningful transformation that moves us forward in our pursuit of a world that works better for people.


Role : Customer Service , Billing representative.

Location: Danville, IL

Type: Fulltime (Onsite)

As a pivotal member of our team, you will play a crucial role in billing pharmacy claims via paper or electronically. Your primary responsibility will involve working with various departments to obtain the information needed for billing and ensuring the billings are done by paper or electronic. This will include printing, mailing, and attaching documents as needed.


Responsibilities

Create paper billings as required for payors on UCF, HCFA, or plan specific billing forms based on plan set up.

Print the billing forms and attach documentation if required.

Bill claims electronically using the pharmacy system or website if the plan allows.

Review the rejected claims from submissions to determine corrective action.

Update the pharmacy receivable system based on billings and perform plan transfers including adjustments as needed.

Reprocess claims that need billed to different plans; reverse original billing and update the receivable system with the appropriate accounting entries.

Maintain compliance with state and federal billing requirements.

Work on special projects as assigned based on client business needs.


Qualifications we seek in you

Minimum Qualifications

  • school diploma or equivalent required.
  • experience in customer service.
  • computer and keyboarding skills
  • in English (verbal and written).
  • communication skills (verbal and written) and can effectively communicate complex information to customers.
  • attention to detail and organizational skills.
  • to multitask, prioritize tasks, and work efficiently in a fast-paced environment.


Preferred Qualifications/ Skills

  • of Microsoft applications (Excel, Word, etc.)
  • of Medical insurance/billing terminology
  • to upholding security measures and compliance standards.



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