Job Description

:Unit Manager (Band4, Level 5)Mphasis Office- PuneJob Summary xe2x80x93Manage Delivery of services for Third party administrators, Health Maintenance organizations, preferred provider organizations, managed care organizations and many more in US healthcare insurance market. The ultimate motive is to ensure commendable service standards and maintain very high customer satisfaction.Responsibilitiesxefx82xb7 Applying Healthcare domain knowledge, theoretical concepts etc. to undertake problem solvingxefx82xb7 Deliver assigned tasks within agreed SLAxefx82xb7 Ensuring accurate and timely completion of transactions to meet or exceed client SLA's (Service Level Agreements)xefx82xb7 Staying current with knowledge of products/ processes & services offered by the clientxefx82xb7 Ensure 100% adherence to schedule.xefx82xb7 Meeting and improving all defined targets like AHT, quality, schedule adherence, maintenance of reports etc..xefx82xb7 Conduct regular One-on-One with the Teamxefx82xb7 Preparation and submission of periodic reports to client.xefx82xb7 Ensuring complete satisfaction of the customers / clients.xefx82xb7 Handle escalations.xefx82xb7 Assist the Asst Manager / Operations Manager in roistering.xefx82xb7 Motivating each Team Member, guiding, monitoring their performance and implementing corrective actions as required.xefx82xb7 Identifying the training requirements of each Team Member and providing for the same in the appraisal sheets.xefx82xb7 To ensure that he conducts a daily team briefing/debriefing before and after the shifts respectively.xefx82xb7 To ensure that at no point in time the floor lacks supervisionxefx82xb7 Understanding of company policies and procedures and effectively applying the samexefx82xb7 Absenteeism and attrition Managementxefx82xb7 ComplianceYears of experience needed xe2x80x93xefx82xb7 Minimum four (2 years) yearsxe2x80x99 experience in Claims Adjudication.Technical Skills:xefx82xb7 Medical claims processing experience is a must.xefx82xb7 Knowledge in Plan Building will be preferred.xefx82xb7 Familiarity of Healthcare laws and legislative including the HIPAA (Health Insurance Portability and Accountability Act)xefx82xb7 Should be good with MS Office and training reporting.xefx82xb7 Candidate with additional experience in auditing claims will be preferred.xefx82xb7 Advance knowledge of ICD 9 xe2x80x93 10 and CPT coding and general practice of claims processing.xefx82xb7 Professional demeanor and commitment to team culture.xefx82xb7 Good Presentation skillsxefx82xb7 Proficiency in MS Officexefx82xb7 People Managementxefx82xb7 Coaching Skillsxefx82xb7 Look up for relevant information and update (type into) the client systems as per set procedures and policies.xefx82xb7 Attention to detail while accomplishing tasks, meeting Weekly / Daily targets with required quality in the given timelines.xefx82xb7 Review data for deficiencies or errors, correct any incompatibilities if possible.xefx82xb7 Adhere to the team norms for making the overall team a cohesive one.xefx82xb7 Ability to prioritize and manage workload.xefx82xb7 Must be ready to work in night shifts.xefx82xb7 Bachelorxe2x80x99s degreexefx82xb7 Operational experience of at least 4- 6 yearsxefx82xb7 Healthcare experience: 4-5 yearsxefx82xb7 Should have handled a team for 6 to 12 monthsxefx82xb7 Good communication skill and ability to work well with people is essential.xefx82xb7 Proficiency with computers is a mustxefx82xb7 Should possess basic analytical reasoning skillsxefx82xb7xefx82xb7Certifications Needed:xefx82xb7xefx82xb7 NAAbout MphasisMphasis applies next-generation technology to help enterprises transform businesses globally. Customer centricity is foundational to Mphasis and is reflected in the Mphasisxe2x80x99 Front2Backxe2x84xa2 Transformation approach. Front2Backxe2x84xa2 uses the exponential power of cloud and cognitive to provide hyper-personalized (C=X2C2TM=1) digital experience to clients and their end customers. Mphasisxe2x80x99 Service Transformation approach helps xe2x80x98shrink the corexe2x80x99 through the application of digital technologies across legacy environments within an enterprise, enabling businesses to stay ahead in a changing world. Mphasisxe2x80x99 core reference architectures and tools, speed and innovation with domain expertise and specialization are key to building strong relationships with marquee clients.
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xe2x80x8e Equal Opportunity Employer:Mphasis is an equal opportunity/affirmative action employer. We provide equal employment opportunities to applicants and existing associates and evaluate qualified candidates without regard to race, gender, national origin, ancestry, age, color, religious creed, marital status, genetic information, sexual orientation, gender identity, gender expression, sex (including pregnancy, breast feeding and related medical conditions), mental or physical disability, medical conditions military and veteran status or any other status or condition protected by applicable federal, state, or local laws, governmental regulations and executive orders. View the EEO in the law poster , view the EEO in the law supplement . To view the pay transparency nondiscrimination provision please click and to view the E-Verify posting click .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.Skills:PRIMARY COMPETENCY : Healthcare PRIMARY SKILL : Healthcare-Enrollment PRIMARY SKILL PERCENTAGE : 100About Company:Mphasis is a leading IT solutions provider, offering Applications, Business Process Outsourcing (BPO) and Infrastructure services globally through a combination of technology knowhow, domain and process expertise. The accolades we have been garnering can be attributed to our undeterred focus in delivering quality solutions across verticals that meet the challenging requirements of our esteemed customers. We have been recently felicitated by the economic times as the most distinguished digital company 2015. We have also been ranked 29 of 100 largest financial technology vendors by American Banker and BAI in the FinTech Forward Top 100 rankings.

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