Only 24h Left Knowledge Specialist
3 weeks ago
Job title Knowledge Specialist Band 5 Level 2 Reports to Unit Manager Asst Unit ManagerProvides 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 Skills PRIMARY COMPETENCY Healthcare PRIMARY SKILL Healthcare-Claims Adjudication 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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Solution Architect
2 weeks ago
Pune, Maharashtra, India Left Right Mind Full timeWe are looking for a Software Solution Architect to join us in helping our clients benefit from our expertise in customer experience, enterprise solutions & product development. As a technologist at Left Right Mind, you will do the following activities - Drive technical projects and take pride in building systems that are usable, functional & scalable. -...
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Graphic Designer
7 days ago
Pune, Maharashtra, India Left Right Mind Full time*** Left Right Mind is looking for an enthusiastic designer for digital mediums and our marketing requirements. The Graphic Designer position comes with the responsibility to create simple, powerful and aesthetic compositions for our clients. The designer role is an all-encompassing one and includes a wide range of digital initiatives. In addition to...
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Only 24h Left! Knowledge Management Specialist
4 weeks ago
Pune, India Nalco Water Full timeJob Description - To support this effort, we seek aKnowledge Management Specialistto support our service partners in creating, publishing, assessing and maintaining accurate and current knowledge assets detailing service delivery process and procedures. - TheKnowledge Management Specialistwill be responsible for delivering best-in-class knowledge management...
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Only 24h Left Fire
4 weeks ago
Pune, Maharashtra, India Dar Full timeAbout CompanyDar Al-Handasah (Shair and Partners) is the founding company of the Dar Group, an international consortium of professional service firms. Through its 18,000 staff members, Dar Group assists clients in over 100 countries around the world. Dedicated to planning, designing, engineering, and project managing facilities, installations and structures,...
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Knowledge Management Specialist
3 weeks ago
Pune, Maharashtra, India ecolab Full timeEcolabs Global Business Solutions GBS is a function-integrated enterprise resource platform Through GBS a global community of associates will support the core business through multiple service delivery avenues on a truly global scale To support this effort we seek a Knowledge Management Specialist to support our service partners in creating ...
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(Only 24h Left) MEP Specialist
3 weeks ago
Pune, India Muttha Associates Full timeJob Description – MEP Lead / Specialist (Muttha Towers II) Position: MEP Lead / Specialist Department: Projects (Real Estate – Commercial High-Rise) Reports to: Project Director / Head of Projects Location: Pune (Muttha Towers II Site) Business Vertical: Commercial Real Estate (Grade A+ Office) About Muttha Towers II Muttha Towers II is the...
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▷ Only 24h Left: Network Design Specialist
6 days ago
Pune, Maharashtra, India Vodafone Full timeWho we are VOIS Vodafone Intelligent Solutions is a strategic arm of Vodafone Group Plc creating value for customers by delivering intelligent solutions through Talent Technology Transformation As the largest shared services organisation in the global telco industry with 30 000 FTE our portfolio of next-generation solutions and services are designed in...
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Only 24h Left: Internal Audit
2 weeks ago
Pune, India Quess IT Staffing Full timeAbout Quess IT Staffing: Hiring the right professionals in the IT industry can be a challenging endeavor. At Quess IT Staffing, we specialize in connecting organizations with IT talent who not only possess the skills needed but also align with the client organization's vision and goals. This commitment has helped us become one of the largest and most...
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▷ [Only 24h Left] Sales Specialist
3 weeks ago
Pune, India ABB Full timeSales Specialist At ABB, we are dedicated to addressing global challenges. Our core values: care, courage, curiosity, and collaboration - combined with a focus on diversity, inclusion, and equal opportunities - are key drivers in our aim to empower everyone to create sustainable solutions. Write the next chapter of your ABB story. This is a position with...
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▷ (Only 24h Left) Inside Sales Specialist
3 weeks ago
Pune, India Incerro Full timeJob Title - Inside Sales Specialist Experience: 2-5 years Education: Any Computer Science graduate/Post graduate Job Summary: We are looking for enthusiastic and goal-oriented people to join our Inside Sales team. As an Inside Sales Specialist, you will be responsible for connecting with potential customers, understanding their needs, and offering...
