Job Description

:Unit Manager (Band4, Level 5)Mphasis Office- PuneJob Summary Manage 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.Responsibilities Applying Healthcare domain knowledge, theoretical concepts etc. to undertake problem solving Deliver assigned tasks within agreed SLA Ensuring accurate and timely completion of transactions to meet or exceed client SLA's (Service Level Agreements) Staying current with knowledge of products/ processes & services offered by the client Ensure 100% adherence to schedule. Meeting and improving all defined targets like AHT, quality, schedule adherence, maintenance of reports etc.. Conduct regular One-on-One with the Team Preparation and submission of periodic reports to client. Ensuring complete satisfaction of the customers / clients. Handle escalations. Assist the Asst Manager / Operations Manager in roistering. Motivating each Team Member, guiding, monitoring their performance and implementing corrective actions as required. Identifying the training requirements of each Team Member and providing for the same in the appraisal sheets. To ensure that he conducts a daily team briefing/debriefing before and after the shifts respectively. To ensure that at no point in time the floor lacks supervision Understanding of company policies and procedures and effectively applying the same Absenteeism and attrition Management ComplianceYears of experience needed Minimum four (2 years) years experience in Claims Adjudication.Technical Skills: Medical claims processing experience is a must. Knowledge in Plan Building will be preferred. Familiarity of Healthcare laws and legislative including the HIPAA (Health Insurance Portability and Accountability Act) Should be good with MS Office and training reporting. Candidate with additional experience in auditing claims will be preferred. Advance knowledge of ICD 9 10 and CPT coding and general practice of claims processing. Professional demeanor and commitment to team culture. Good Presentation skills Proficiency in MS Office People Management Coaching 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. 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. Bachelors degree Operational experience of at least 4- 6 years Healthcare experience: 4-5 years Should have handled a team for 6 to 12 months Good communication skill and ability to work well with people is essential. Proficiency with computers is a must Should possess basic analytical reasoning skillsCertifications Needed: NAAbout MphasisMphasis applies next-generation technology to help enterprises transform businesses globally. Customer centricity is foundational to Mphasis and is reflected in the Mphasis 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. Mphasis Service Transformation approach helps xe2x80x98shrink the core through the application of digital technologies across legacy environments within an enterprise, enabling businesses to stay ahead in a changing world. Mphasis core reference architectures and tools, speed and innovation with domain expertise and specialization are key to building strong relationships with marquee clients.
xe2x80x8e
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.

Mphasis