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94 Mphasis Jobs
Knowledge Specialist
1-3 years
₹ 1.4 - 4.5L/yr (AmbitionBox estimate)
This is an estimate of the average salary range for this
position. It has not been reviewed by the company, and
the actual salary may differ.
Pune
1 vacancy
Knowledge Specialist
Mphasis
posted 7hr ago
Job Role Insights
Flexible timing
Key skills for the job
Job Description
Job Description
Knowledge Specialist
Mphasis Office
Job Summary -
Provides customer service support for third party administrators, Health Maintenance organizations, preferred provider organizations, managed care organizations and many more in US healthcare insurance market by identifying and updating information. The ultimate motive is to ensure commendable service standards and maintain very high customer satisfaction.
Years of experience needed -
Minimum 1 - 2 years experience in examining and processing Healthcare claims required.
Technical Skills:
Medical claims processing experience is a must.
Provider Maintenance, Enrollment experience required.
Proficiency with computers.
Review claims for legitimacy and accuracy
Adjudicate claims by approving or denying them according to established guidelines.
Conducts investigation of pended claims and follow up with respective departments to finalize claims resolution.
Staying current with knowledge of products/ processes & services offered by the client,
Review and process medical claims according to guidelines within established turnaround time frames
Maintain accurate records/notes of claims related documentation.
Ensure full adherence to all the quality parameters.
Ensure 100% adherence to schedule.
Meeting all defined targets like Productivity, quality, Maintenance of required reports in Excel.
Look up for relevant information and update (type into) the client systems as per set procedures and policies.
Attention to detail while accomplishing tasks, meeting Weekly / Daily targets with required quality in the given timelines.
Enter updates relating to pertinent healthcare data into the computer system in a timely manner ensuring accuracy, completeness, and adherence to department procedures.
Review data for deficiencies or errors, correct any incompatibilities if possible.
Adhere to the team norms for making the overall team a cohesive one.
Ability to prioritize and manage workload.
Must be ready to work in night shifts.
Good communication skills
Certifications Needed:
Undergraduate (10+2)/Diploma / Graduate (Only Arts or Science) - Non-Technical Only
Typing speed 35 to 40 wpm with 95% accuracy (without looking at the keyboard)
About Mphasis
Equal Opportunity Employer:
Mphasis is committed to providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of disability to search and apply for a career opportunity, please send an email to accomodationrequest@mphasis.com and let us know your contact information and th e nature of your request.
Employment Type: Full Time, Permanent
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People are getting interviews at Mphasis through
People are getting interviews through
(based on 511 Mphasis interviews)
Job Portal
Campus Placement
Referral
Company Website
Walkin
Recruitment Consultant
35%
18%
12%
7%
6%
4%
18% candidates got the interview through other sources.
High
Confidence
?
High Confidence means the data is based on a large number of responses received from the candidates.
What people at Mphasis are saying
Rating based on 28 Knowledge Specialist
reviews
Anonymous · Non Voice
in Bengaluru
Likes
Nothing
Dislikes
Nothing , worst experience
Read 28 reviewsKnowledge Specialist salary at Mphasis
reported by
277
employees
with 1-6
years exp.
₹1.4
L/yr - ₹5
L/yr
55%
less
than the average Knowledge Specialist Salary in India
View more details
What Mphasis employees are saying about work life
based on 7.9k employees
Flexible timing
Monday to Friday
No travel
Day Shift
Mphasis Benefits
Submitted by Company
Cafeteria 
Health Insurance Soft Skill Training Job Training
Submitted by Employees
View more benefits 
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Mphasis Pune Office Locations
Pune Office
Mphasis Software & Services India P, No. 33, 2nd Floor, Sakar 10, Sassoon Road, Opp. Jehangir Hospital, Camp, Swargate
Pune
Maharashtra 411001
Maharashtra 411001
Pune Office
Mphasis Limited, Magarpatta, Cybercity, Tower IV, Magarpatta City, Hadapsar
Pune
Maharashtra 411013
Maharashtra 411013
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