High school diploma or GED is required., 3-5 years of experience in Revenue Cycle Management (RCM) and healthcare collections., Proficiency in MS Excel, including pivot tables., Strong knowledge of medical terminology, CPT codes, and coding requirements..
Key responsabilities:
Utilize the Advanced Reimbursement Analysis (ARM) tool to track and trend underpayments.
Analyze claim lines to identify underpayments and billing errors.
Contact payers to initiate payment requests and perform follow-ups.
Serve as a subject matter expert in payer contract dispute resolution.
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Cognizant (Nasdaq-100: CTSH) engineers modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we’re improving everyday life. See how at www.cognizant.com or @cognizant.
This is a remote position open to any qualified applicant in the United States. In this role, you will work under the general supervision of the Director of Managed Care, Credentialing, and Denial Prevention. You will perform advanced-level tasks related to healthcare payer claim line underpayments. Excellent written and verbal communication skills, proficiency in MS Excel, and familiarity with payer portals are essential.
Job Responsibilities
Utilizing the Advanced Reimbursement Analysis (ARM) tool to identify, track, and trend underpayments.
Possessing a basic understanding of the entire RCM process.
Maintaining a comprehensive knowledge of HCPCS/ICD/CPT coding and specific carrier requirements.
Identifying trends and patterns to better resolve accounts and generate bulk payments.
Recognizing problems or trends and providing suggestions for resolutions.
Demonstrating strong knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes.
Analyzing claim lines to identify contractual underpayments or billing errors.
Resolving underpaid claims from various payer products, including HMO, PPO, Medicaid, Medicare, and Workers' Compensation.
Articulating contract provisions to representatives from healthcare payer companies and government agencies.
Contacting payer via phone, portal, or written correspondence to initiate payment requests.
Performing appropriate follow-up with payers and gaining commitment for payment.
Escalating lack of response or payment within the payer organization as appropriate.
Identifying and communicating contract interpretation issues and language discrepancies to leadership.
Identifying payer trends and communicating them to the supervisor for further action or escalation.
Serving as a subject matter expert in the payer contract dispute resolution process.
Qualifications
High school diploma or GED is Required
RCM experience needed 3-5 years
Healthcare Collections experience 3-5 years
Excel knowledge- Pivot tables
Salary And Other Compensation
Applications will be accepted until March 14, 2025.
The annual salary for this position is between $63,000 - $74,500, depending on experience and other
Qualifications Of The Successful Candidate.
This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and
subject to the terms of Cognizant’s applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
Medical/Dental/Vision/Life Insurance
Paid holidays plus Paid Time Off
401(k) plan and contributions
Long-term/Short-term Disability
Paid Parental Leave
Employee Stock Purchase Plan
Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting.
Cognizant reserves the right to modify this information at any time, subject to applicable law.
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.