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Mphasis is Hiring For Junior Knowledge Specialist

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Mphasis Job

About Company

phasis provides Information Technology (IT) services, including business process outsourcing, infrastructure technology, and application services. The application services offered by the company includes application development, maintenance and support. The markets served by the company are financial services and insurance, healthcare, manufacturing, government, transportation, communications, and consumer and retail industries.

Mphasis has more than 60 sales and delivery centers in 19 countries with delivery centers in India, China, Australia, North America, UK, Japan, Singapore, Indonesia, Tunisia, Mauritius, New Zealand, Taiwan, Mexico, Costa Rica, Taiwan and Europe.In India it has presence with operations in Bangalore, Chennai, Pune, Hyderabad, Mumbai, Noida and Mangalore.

Mphasis Junior Knowledge Specialist Recruitment Details

Company Mphasis
Post Junior Knowledge Specialist
Degree Graduate
Branch All Branch
Batch 2020/2021/2022/2023 Batch
CTC Rs 3 LPA (Expected)
Location Bangalore

Job Description

Summary:  Under the supervision of the Provider Network Supervisor, the Provider Network Specialist is responsible for creating provider records in the claims processing system and linking records to the appropriate fee schedule. This position is also responsible for analyzing and interpreting provider contracts to ensure accurate reimbursement.

Essential Functions:

 Creates provider and vendor records in claims processing system

 Builds and maintains fee schedules based on submitted provider contracts

 Assigns fee schedules to appropriate provider and vendor records

 Effectively analyzes and interprets provider contracts

 Manages pended claims that require additional contractual review

Additional Functions:

 Assists with special projects, as requested

 Communicates clearly and concisely, with sensitivity to the needs of others

 Maintains the confidentiality of all company procedures, results, and information about participants, clients, providers and employees

 Maintains courteous, helpful and professional behavior on the job

 Establishes and maintains effective working relationships with co-workers

 Ensures customer satisfaction by understanding and applying the Customer Service Policy, Procedure and Standards

 Follows all Policies and Procedures and HIPAA regulations

 Maintains a safe working environment

Supervisory Responsibility:  None

Travel:  Minimal travel, less than 10%, expected for this position

Who Can Apply

Knowledge, Skills and Abilities:

 Educational requirements include a High School Diploma or equivalent. Three years of professional work experience in a Health Plan Management setting is preferred

 Knowledge of provider contracts, fee schedules and payment methodologies

 Knowledge of medical terminology

 Knowledge of medical claims processing

 Knowledge and experience using current computer technology, and a strong knowledge of Excel and Microsoft Word.

 Skilled in establishing and maintaining effective working relationships with clients, and staff at all levels

 Skilled in data analysis and problem solving using defined methodologies

 Skilled in problem resolution; recommends suggestions to increase accuracy and/or efficiency

 Ability to work independently with minimal supervision

 Ability to have superior attendance to fulfill all position functions

 Ability to independently follow through on projects

 Ability to communicate professionally, clearly and effectively, verbally and in writing

 Ability to prioritize effectively

 Ability to consistently multitask

Physical Demands & Requirements :

 Communicate by way of the telephone with participants, customers, vendors and staff

 Operate a computer and other office productivity machinery, such as a calculator, copy machine, fax machine and office printer

 Remain stationary for extended periods of time

 Occasionally exert up to 20 pounds of force to lift, carry, push, pull or move objects

 Visual acuity to perform activities such as identifying, inputting and analyzing data on a computer terminal and/or in hard copy

 Occasional reaching to retrieve shelved items

 Occasional bending/stooping

Work Environment :

 This job operates in a professional office environment, or home office environment, with a conversational noise level.

 No substantial exposure to adverse environmental conditions is expected.

 Moderate pressure to meet scheduled appointments and deadlines

 Potential for occasional verbal aggression by clients and vendors

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Placement Materials

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Apptitude Study Material :- Coming Soon

Selection Process

Round 1

In first round there will Aptitude Round where question related to check capabilities of the candidate through variety of questions like

  • Verbal reasoning questions. …
  • Verbal comprehension questions. …
  • English language questions. …
  • Questions testing abstract reasoning.

Round 2

The second round is generally a Technical Round in which all the technical related question were asked to candidate according to job role. In this generally the interviewer checks candidate technical ability the depth and breadth of candidaate knowledge

Round 3

Round 3 is a HR round in some cases TR and HR round are occur concurrently. This round is conducted by Human Resource Professional who ensures that you are the right candidate for the role


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