Job Summary
This hybrid night shift role focuses on end to end account receivable management for healthcare products within the revenue cycle management domain ensuring accurate claim handling timely collections and effective resolution of denials to optimize provider cash flow and support sustainable patient care delivery in a multinational environment.
Responsibilities
Manage daily account receivable work queues for healthcare product lines to ensure timely follow up on outstanding claims and accounts while maintaining agreed service levels and accuracy targets.Analyze claim aging reports to identify high impact delinquent accounts and implement focused follow up actions that improve days sales outstanding and overall cash flow performance.Review insurance remittance information and associated documentation to validate correct payment posting and identify underpayments or overpayments for prompt adjustment or escalation.Communicate professionally with payer representatives and internal stakeholders through approved channels to clarify billing issues resolve discrepancies and obtain required information for claim resolution.Investigate root causes of claim denials and rejections within the revenue cycle process and document clear action steps that support effective resubmission or corrective measures.Update account level notes and system records in a detailed consistent and timely manner so that team members and supervisors have full visibility into status history and pending actions.Coordinate with coding billing and enrollment teams to address data quality issues that impact claim acceptance and reimbursement while promoting continuous process refinement.Monitor compliance with payer specific rules organizational policies and healthcare regulatory standards while handling all account activities with high ethical and confidentiality standards.Prepare concise operational summaries and metrics for assigned portfolio such as collected amounts resolved accounts and denial trends to support performance tracking and process improvement discussions.Support implementation of new healthcare product workflows system enhancements or client specific guidelines by providing feedback from frontline account receivable operations.Collaborate with quality and training teams to adopt best practices that reduce avoidable denials improve first pass resolution and enhance patient and client satisfaction outcomes.Prioritize work activities effectively during night shift hybrid operations to align with payer availability and internal cutoff timelines thereby maximizing productivity and collection impact.Participate in continuous learning related to payer policy updates healthcare product features and revenue cycle regulations to maintain role effectiveness and ensure accurate claim handling.
Qualifications
Possess foundational experience in healthcare revenue cycle operations with hands on exposure to account receivable processes claim follow up and denial resolution within the specified experience range.Demonstrate working knowledge of healthcare product structures payer types and reimbursement methodologies relevant to provider billing and collection activities.Exhibit strong analytical skills to interpret aging reports remittance data and denial patterns and to translate these insights into practical follow up actions.Apply clear concise and respectful communication skills in written and verbal formats when interacting with payers internal teams and where applicable client representatives.Utilize common office productivity tools and revenue cycle systems with accuracy and speed while adapting quickly to new platform features or workflow changes.Display high attention to detail and accountability in documenting account activities protecting sensitive health information and adhering to organizational compliance standards.Adapt effectively to hybrid work conditions and consistent night shift schedules while maintaining reliable attendance focus and performance on time bound account tasks.
关于高知特 (Cognizant)
高知特(Cognizant)（纳斯达克代码：CTSH）作为一家AI Builder和相关技术服务提供商，致力于通过打造全栈AI解决方案，帮助企业将人工智能投资转化为实际价值。公司凭借深厚的行业经验、流程优化和工程技术专长，将企业独特的业务场景融入科技系统，赋能组织释放人才潜能，推动切实成果，并帮助全球企业在瞬息万变的环境中保持领先。如需了解更多详情，敬请访问 cognizant.ai 或关注@cognizant。
补充雇佣信息
薪酬信息截至本职位发布之日为准。Cognizant 保留在适用法律允许的范围内随时修改该信息的权利。
申请人可能需要通过现场面试或视频会议的方式参加面试。此外，候选人在每次面试时可能需要出示其当前所在州或政府签发的有效身份证件。
Cognizant 是一家提供平等就业机会的雇主。在招聘过程中，您的申请和候选资格不会因种族、肤色、性别、宗教、信仰、性取向、性别认同、国籍、残疾、遗传信息、怀孕、退伍军人身份或任何其他受联邦、州或地方法律保护的特征而受到影响。
