Job Description

:



Job title

Healthcare Process Trainer

Level

4

Reports to

Training Manager

US Visa

Candidates with active visa preferred

Job purpose

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.

Duties and responsibilities

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

US Healthcare experience required at expert level

Strong in presentation/delivery of training to both live as well as virtual audience. Should be confident in talking to people (stand-up communication to be specific)

Should be comfortable working in a 24*7 rotational shifts

Responsible for end-to-end training of the account/process \xe2\x80\x93 right from the time a new hire joins Mphasis till he/she is active in the company i.e. new hire training + production/ongoing trainings

Should have handled and verified documents before paying/denying claims

Installing and administrating healthcare provider contracts (hospitals, medical practices), including structure and billing set up, eligibility collection, database loading, and preparation of plan materials such as administrative documents and provider education materials

Knowledge in healthcare Plan building is preferred

Familiarity of Healthcare laws and legislative including the HIPAA (Health Insurance Portability and Accountability Act)

Monitor, analyze and evaluate the effectiveness of training according to program goals. Identify knowledge and skill gaps by utilizing needs assessments and evaluation tools.

Assist in developing training materials/SOPs (standard operating procedures) by working with claims staff as well as Team members from other departments within the organization, to develop training materials to improve existing training resources.

Experience in developing desktop procedures and effective training materials in multiple formats PowerPoint presentations, job aids, practice activities and evaluations.

Experience and Skills requirement for this role:

Minimum two (2) years\xe2\x80\x99 experience in US Healthcare

Claims Adjudication experience is a must

Should be good with MS Office and training reporting

Qualifications

Qualifications include:

Graduation in any discipline is a must

Excellent communication and interpersonal skills.

Ability to train and develop resources.

Ability to work in a team, resolve conflicts, and the ability to work independently.

Skills:

PRIMARY COMPETENCY : Healthcare PRIMARY SKILL : Non-Voice PRIMARY SKILL PERCENTAGE : 100

About 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