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Process Specialist - HC

JD 3


Job Summary

We are seeking a Process Specialist - Voice with 3 to 6 years of experience in HealthCare Products. The ideal candidate will have expertise in Revenue Cycle Management Claims and Accounts Receivables. This hybrid role requires night shift availability and does not require travel. The candidate will play a crucial role in optimizing our healthcare processes and ensuring efficient revenue management.


Responsibilities

  • Oversee the end-to-end process of Revenue Cycle Management to ensure timely and accurate billing and collections.
  • Provide expertise in managing healthcare claims ensuring compliance with industry standards and regulations.
  • Monitor and manage Accounts Receivables to maintain healthy cash flow and minimize outstanding balances.
  • Collaborate with cross-functional teams to identify and implement process improvements in healthcare operations.
  • Analyze data to identify trends and areas for improvement in revenue cycle processes.
  • Develop and maintain documentation for healthcare processes and procedures.
  • Train and mentor team members on best practices in Revenue Cycle Management and Claims processing.
  • Ensure adherence to all relevant healthcare regulations and standards.
  • Conduct regular audits to ensure accuracy and compliance in billing and claims processes.
  • Utilize healthcare product knowledge to troubleshoot and resolve issues related to billing and claims.
  • Communicate effectively with stakeholders to provide updates on process improvements and performance metrics.
  • Participate in continuous improvement initiatives to enhance the efficiency and effectiveness of healthcare operations.
  • Support the implementation of new healthcare products and systems to improve revenue cycle management.

    • Qualifications

  • Possess strong knowledge of healthcare products and their applications in revenue cycle management.
  • Demonstrate expertise in managing healthcare claims and ensuring compliance with industry standards.
  • Have experience in monitoring and managing accounts receivables to maintain healthy cash flow.
  • Exhibit strong analytical skills to identify trends and areas for improvement in revenue cycle processes.
  • Show proficiency in developing and maintaining documentation for healthcare processes and procedures.
  • Display excellent communication skills to effectively collaborate with cross-functional teams and stakeholders.
  • Have the ability to train and mentor team members on best practices in revenue cycle management and claims processing.
  • Demonstrate a strong understanding of healthcare regulations and standards.
  • Possess experience in conducting audits to ensure accuracy and compliance in billing and claims processes.
  • Show proficiency in troubleshooting and resolving issues related to billing and claims.
  • Exhibit a proactive approach to continuous improvement initiatives in healthcare operations.
  • Have experience in supporting the implementation of new healthcare products and systems.
  • Display strong organizational skills to manage multiple tasks and priorities effectively.

    • The Cognizant community:
    We are a high caliber team who appreciate and support one another. Our people uphold an energetic, collaborative and inclusive workplace where everyone can thrive.

    • Cognizant is a global community with more than 300,000+ associates around the world.
    • We don’t just dream of a better way – we make it happen.
    • We take care of our people, clients, company, communities and climate by doing what’s right.
    • We foster an innovative environment where you can build the career path that’s right for you.

    About us:
    Cognizant 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 (a member of the NASDAQ-100 and one of Forbes World’s Best Employers 2024) is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com

    Our commitment to diversity and inclusion:
    Cognizant is an equal opportunity employer that embraces diversity, champions equity and values inclusion. We are dedicated to nurturing a community where everyone feels heard, accepted and welcome. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other protected characteristic as outlined by federal, state or local laws.

    If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.

    Disclaimer:
    Compensation 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.

    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.

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