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At Genpact, we don't just adapt to change--we drive it. AI and digital innovation are redefining industries, and we're leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how we're scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies' most complex challenges.
If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment.
Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions - we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation, our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook.Inviting applications for the role of Assistant Manager, Unbilled Claims Management Specialist - Home Care Pharmacy!
We are looking for a proactive and detail-driven Unbilled Claims Management Specialist to join our billing operations team. This role focuses on identifying, analyzing, and resolving unbilled claims within our US-based Home Care Pharmacy services. The ideal candidate will have a solid understanding of pharmacy billing workflows, payer requirements, and claims resolution strategies.
Responsibilities
Monitor and manage unbilled claims to ensure timely submission and reimbursement.*
Investigate root causes of unbilled claims and implement corrective actions.*
Collaborate with pharmacy, intake, and billing teams to resolve documentation or authorization issues.*
Track and report on unbilled claim volumes, aging, and resolution status.*
Ensure compliance with payer-specific billing guidelines and regulatory requirements.*
Escalate unresolved issues to appropriate stakeholders and follow through to resolution.*
Maintain accurate records and documentation for audit and compliance purposes.*
Qualifications we seek in you!
Minimum Qualifications / Skills
Must have B.Com or M.Com degree*
Preferred Qualifications/ Skills
Experience in unbilled claims management or billing in a US-based Home Care Pharmacy or healthcare setting.*
Strong knowledge of insurance billing processes, including Medicare, Medicaid, and commercial payers.*
Familiarity with pharmacy billing systems and EHR platforms.*
Excellent analytical, organizational, and communication skills.*
Ability to work independently and prioritize tasks in a fast-paced environment.*
Experience with pharmacy billing software (e.g., CPR+, FrameworkLTC, QS/1).*
Understanding of prior authorization and documentation requirements for home infusion or specialty pharmacy services.*
Knowledge of HIPAA and healthcare compliance standards.*
Work Environment*
o Operate within a structured framework but is you are expected to be proactive and analytically independent in your own area of responsibility
Employment Type: Full-Time
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