What are the responsibilities and job description for the Accounts Receivable Team Lead (remote) position at Cognizant?
This is a remote position open to any qualified applicant in the United States.
Responsibilities
Will work as a team lead as well as 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
Possess basic knowledge of entire RCM process
Recognizes problems or trends and provides suggestions to help find resolutions
Strong knowledge of medical terminology CPT codes modifiers and diagnosis codes and specific carrier requirements/knowledge
23 years' experience working in RCM specifically collections
Ability to follow up on outstanding AR
Ability to review interpret EOBs 835837 and respond using medical guidelines and policies
Prioritize pending claims from aging basket and follow up at regular intervals to collect outstanding
Being Detail Oriented
Knowledge in writing appeals and following thru appeals process
Resolve accounts to get paid with max 2 touches
Communicates with leadership regarding specific reimbursement issues
Strong analytical skills and ability to meet assigned deadlines
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
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
Strong communication skills both verbal and written to ensure all actions taken are documented appeal letters are effective and root cause is communicated
Preferred
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
Examine denied and underpaid claims to determine the reason for discrepancies
Communicate directly with payers to follow up on outstanding claims file technical appeals resolve payment variances and ensure timely reimbursement
Ability to identify with specific reason underpayments denials and cause of payment delay
Works with management to identify trend and address the root causes of issues in the AR
Maintain a thorough understanding of federal and state regulations as well as payer specific requirements and take appropriate action accordingly
Document activity accurately including contact names addresses phone numbers and other pertinent information
Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management
Needs to be a strong problem solver and critical thinker to resolve accounts Must meet productivity and quality standards
Salary And Other Compensation
Applications will be accepted until March 28, 2025.
The annual salary for this position is between $77,000-90,000 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:
Cognizant reserves the right to modify this information at any time, subject to applicable law.
Responsibilities
Will work as a team lead as well as 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
Possess basic knowledge of entire RCM process
Recognizes problems or trends and provides suggestions to help find resolutions
Strong knowledge of medical terminology CPT codes modifiers and diagnosis codes and specific carrier requirements/knowledge
23 years' experience working in RCM specifically collections
Ability to follow up on outstanding AR
Ability to review interpret EOBs 835837 and respond using medical guidelines and policies
Prioritize pending claims from aging basket and follow up at regular intervals to collect outstanding
Being Detail Oriented
Knowledge in writing appeals and following thru appeals process
Resolve accounts to get paid with max 2 touches
Communicates with leadership regarding specific reimbursement issues
Strong analytical skills and ability to meet assigned deadlines
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
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
Strong communication skills both verbal and written to ensure all actions taken are documented appeal letters are effective and root cause is communicated
Preferred
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
Examine denied and underpaid claims to determine the reason for discrepancies
Communicate directly with payers to follow up on outstanding claims file technical appeals resolve payment variances and ensure timely reimbursement
Ability to identify with specific reason underpayments denials and cause of payment delay
Works with management to identify trend and address the root causes of issues in the AR
Maintain a thorough understanding of federal and state regulations as well as payer specific requirements and take appropriate action accordingly
Document activity accurately including contact names addresses phone numbers and other pertinent information
Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management
Needs to be a strong problem solver and critical thinker to resolve accounts Must meet productivity and quality standards
Salary And Other Compensation
Applications will be accepted until March 28, 2025.
The annual salary for this position is between $77,000-90,000 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
Cognizant reserves the right to modify this information at any time, subject to applicable law.
Salary : $77,000 - $90,000
