Instagram
youtube
Facebook

Sr. Executive - Fssc

3-7 years
Not Disclosed
10 Dec. 31, 2024
Job Description
Job Type: Full Time Education: M. Com / B. Com. Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Sr. Executive - FSSC

Date: December 29, 2024

Location: Airoli, India

Company: Lupin


Job Description

The Sr. Executive - FSSC will be responsible for managing Medicaid-related financial operations, ensuring compliance with government pricing policies, and resolving queries related to order-to-cash (O2C) processes. This role involves validating claims, performing reconciliations, and ensuring accurate and timely responses to both internal and external queries.


Key Responsibilities

  1. Credit Memo Processing for Medicaid:

    • Ensure proper and timely passing of credit memos related to Medicaid in accordance with government pricing policies.
  2. State Claims Validation:

    • Validate state claims regarding pricing and other requirements on the CMS portal. Collaborate with state representatives to resolve any queries related to Medicaid claims.
  3. Medicaid Reconciliations:

    • Perform state- and program-wise reconciliations for Medicaid. Extract and send soft copies of credit memos and working documents to the state for payment processing.
  4. Query Resolution:

    • Resolve both internal and external queries related to the Order-to-Cash (O2C) process within the defined turnaround time. Provide accurate, timely, and complete responses to internal and external audit queries.

Education Qualifications

  • M. Com / B. Com

Relevant Work Experience

  • 3 to 7 years of relevant experience in financial services or accounting, specifically in Medicaid billing, claims processing, and O2C functions.

This position offers an opportunity to be involved in critical financial operations within a global pharmaceutical company, ensuring compliance and timely resolution of queries. If you have the relevant experience and qualifications, apply now to be part of Lupin's FSSC team.