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98 Mphasis Jobs

Knowledge Specialist

1-3 years

₹ 1.4 - 4.5L/yr (AmbitionBox estimate)

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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 15hr ago

Job Description

Job Description

Job title Knowledge Specialist (Band 5, Level 2)

Reports to Unit Manager / Asst Unit Manager

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.

Technical Skills:

Minimum 1 - 2 years experience in examining and processing Healthcare claims required.

Medical claims processing experience is a must.

Provider Maintenance, Enrollment experience required.

Proficiency with computers.

Process Skills:

Listed below are the primary job duties and responsibilities that are required:

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.

Behavioral Skills :

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.

Certification:

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)

Good communication skills.


Employment Type: Full Time, Permanent

Read full job description

Mphasis Interview Questions & Tips

Prepare for Mphasis Knowledge Specialist roles with real interview advice

Top Mphasis Knowledge Specialist Interview Questions

Q1. As per OFAC list what are the sanctioned countries
View answers (2)
Q2. What is the full form of KYc, CDD , AML
View answer (1)
Q3. Any knowledge on sanctioned countries
View answers (3)
View all 7 questions

What people at Mphasis are saying

3.7
 Rating based on 29 Knowledge Specialist reviews

Likes

Nothing

Dislikes

Nothing , worst experience

Read 29 reviews

Knowledge Specialist salary at Mphasis

reported by 271 employees with 1-6 years exp.
₹1.4 L/yr - ₹5 L/yr
56% less than the average Knowledge Specialist Salary in India
View more details

What Mphasis employees are saying about work life

based on 7.8k employees
67%
82%
68%
63%
Flexible timing
Monday to Friday
No travel
Day Shift
View more insights

Mphasis Benefits

Submitted by Company
Cafeteria
Health Insurance
Soft Skill Training
Job Training
Submitted by Employees
Cafeteria
Health Insurance
Soft Skill Training
Job Training
Work From Home
Team Outings +6 more
View more benefits

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Mphasis Pune Office Locations

View all
Pune Office
Mphasis Software & Services India P, No. 33, 2nd Floor, Sakar 10, Sassoon Road, Opp. Jehangir Hospital, Camp, Swargate Pune
Maharashtra 411001
Pune Office
Mphasis Limited, Magarpatta, Cybercity, Tower IV, Magarpatta City, Hadapsar Pune
Maharashtra 411013

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