Revenue Recovery Specialist – Health Care

Job Description

In this role, the successful candidate under the general supervision of the Director of Managed Care, Credentialing and Denial Prevention performs sophisticated level work related to healthcare payer claim line underpayments. The candidate will have excellent written and verbal communication skills, ability to work with MS Excel, and payer portals. Additional tasks are listed below.

• Applies Sophisticated Reimbursement Analysis (ARM) tool to identify, track and trend underpayments.
• Analyzes claim lines to identify contractual underpayments or billing errors.
• Resolves underpaid claims from various payer products including HMO, PPO, Medicaid, Medicare, and Workers' Compensation.
• Articulates contract provisions to representatives from healthcare payer companies and government agencies.
• Contacts payer companies via phone, portal or written correspondence to initiate payment requests.
• Performs appropriate follow-up with Payer and gains dedication for payment.
• Brings up Payer's lack of response and/or lack of payment within the Payer organization as appropriate.
• Identifies and communicates contract interpretation issues and language discrepancies to leadership as appropriate.
• Identifies Payer company trends and communicates trends to supervisor for further action/customer concern.
• Serves as a subject matter authority in the Payer contract dispute resolution process.
• Cognizant will provide laptop for work.
• Training provided and paid

Requirements

• High School Diploma or GDE

• 1-2 Years experience on revenue recovery

• Healthcare coding or billing background

Location

Hybrid. Mostly working from home but if close to a facility it might be required to go in office.

Salary and Other Compensation:

Applications will be accepted until 4/3rd

The annual salary is 50,000.00 depending on experience and other qualifications

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, based on 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.

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 in the future.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status.

Employee Status : Full Time Employee

Shift : Day Job

Travel : No

Job Posting : Mar 18 2024

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 [email protected] with your request and contact information.