Healthcare AR Specialist - remote

Cognizant is one of the world's leading professional services companies, we help our clients modernize technology, reinvent processes, and transform experiences, so they can stay ahead in our constantly evolving world. Do you thrive in a busy environment and are you able to multi-task successfully? If so, please apply today!

The Accounts Receivable Specialist role responsibilities include following up directly with payers to resolve claim issues and secure appropriate and timely reimbursement. Identify and analyze denials and payment variances and take action to resolve account including drafting and submitting technical appeals.

In this role, the successful candidate performs advanced level work related to resolution of physician claim denials. This position will be responsible for root cause analysis physician payer denials, experience in identifying procedures impacted by National Correct Coding Initiative Edits (NCCI), technical payer policies, appeal documentation and resolution. In addition, this position will be responsible for identification, collaboration, and implementation of process initiatives to reduce denials.

Highlights

• Exceptional problem solving and critical thinking skills to root cause denials and resolve accounts. Must meet quality and productivity standards.
• Demonstrates knowledge and expertise in state/federal billing guidelines, reimbursement methodologies, and payer policies.
• Makes recommendations for additions/revisions/deletions to work queues and claim edits to improve efficiency to reduce denials and underpayments.
• Identifies patterns and escalates to management as appropriate with sufficient information for additional follow up, and or root cause resolution.
• Exceptional Excel skills to summarize and provide detailed reporting to management and client.
• Tracks and trends claim denials and underpayments to identify initiatives for payer, process or technology improvement plans.
• Effective communication skills both verbal and written to ensure all actions taken are documented, appeal letters are effective, and root cause is communicated.
• Strong problem solver and critical thinker to resolve accounts.

Preferred

• 2-3 years' experience working in healthcare revenue cycle.
• Associates or Bachelors preferred or equivalent experience in denial management.
• Documented technical skills, Excel, Payer Portals, and Claims Clearinghouses.

Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.

Hourly Rate and Other Compensation:

Applications will be accepted until March 8, 2025.

The hourly rate for this position is between $18.00 - $21.00 per hour, 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 hourly rate, 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.