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Job Description
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.
Tracks and trends claim denials and underpayments to identify initiatives for payer, process, or technology improvement plans.
Strong communication skills both verbal and written to ensure all actions taken are documented, appeal letters are effective and root cause is communicated.
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.
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.
Other Job Duties Include
The hourly rate for this position is between $18.00 - 20.00 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 P aid 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.
Education and / or Experience Associates degree or equivalent from two-year College or technical school or six months to one-year related experience and / or training or equivalent combination of education and experience.
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.
An inclusive environment embracing diversity : for the second time, Cognizant has been named to the Forbes list of Best Employers for Diversity based on survey responses from its employees!
Employee Status : Full Time Employee
Shift : Day Job
Job Posting : Apr 30 2024
About Cognizant
Cognizant (Nasdaq-100 : CTSH) is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era.
Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses.
Headquartered in the U.S., Cognizant is ranked 185 on the Fortune 500 and is consistently listed among the most admired companies in the world.
Learn how Cognizant helps clients lead with digital at www.cognizant.com or follow us @USJobsCognizant.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
If you have a disability that requires a reasonable accommodation to search for a job opening or submit an application, please email CareersNA2@cognizant.
com with your request and contact information.
Last updated : 2024-05-01
Full Time
IT Outsourcing & Consulting
$46k-57k (estimate)
05/03/2024
05/04/2024
cognizant.com
TEANECK, NJ
>50,000
1998
BRIAN HUMPHRIES
$10B - $50B
IT Outsourcing & Consulting
Cognizant (Nasdaq-100: CTSH) is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant is ranked 194 on the Fortune 500 and is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com or follow us @Cognizant.
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