Provider Revenue Cycle Management Expert (Remote), Earth City, Missouri, United States

Client Success Advisor - Provider Revenue Cycle Management Expert (Remote)

Job description:

As RCM Expert, you will take a lead role in managing large scale transitions and delivering client success. The RCM Expert works closely with the RCM and Transitions teams and clients to ensure seamless and successful transition of contracted RCM functions of the practice, hospital and/or health system. The RCM Expert will work with customers and prospects as a subject matter expert representing Cognizant’s products and services. The RCM Expert provides consultative reviews of revenue cycle performance and recommends process changes and/or improvements to impact overall performance and efficiency of the provider. This role is a high visibility and challenging opportunity and requires high amount of commitment, business acumen, leadership qualities and motivated attitude to perform well.

Essential Functions / Tasks / Duties / Responsibilities:

• Develop trusted advisor relationships with healthcare leadership and provide strategic guidance

• Lead complex transition engagements improving financial outcomes for clients

• Perform due diligence during the transition period to align with the contractual obligations and set expectations on the transition with the client and internal stake holders.

• Document and create Work Instructions (WIs) and Standard Operating Procedures (SOPs).

• Effectively communicate with clients, internal teams and stakeholders to provide updates on the progress of transition.

• Assist with establishing and monitoring KPIs to evaluate the success of transition projects and make data driven decisions.

• Provide expertise in revenue cycle, clinical integration, and financial turnarounds

• Design innovative solutions to pressing revenue cycle challenges

• Proactively manages client requests for additional information as it relates to: revenue cycle services, opportunity identification, etc.

• Contribute to practice strategy, capability development, talent acquisition

• Build strategic relationships with clients, assuring that they are fully leveraging all of Cognizant RCM capabilities, products and services

• Evaluate then recommend best practices to ensure outcomes that will meet client expectations

• Collaborates with team members and clients to determine current process gaps and assist with developing future processes.

• Investigates claims using the A/R Analysis Report, Claims and AR, rejections and acknowledgements, and any other tools necessary to determine and resolve problems for the client’s revenue cycle.

• Reports and discusses inconsistencies and/or discrepancies found during our analysis of the clients end to end rcm processes.

• Ability to represent and effectively communicate results to executive leadership at provider offices and hospitals and health systems

• Participates in professional/company development activities

• Ensures strict confidentiality of client records

• Meets routine deadlines and work schedules as well as timely and accurate completeness of special projects

• Monitor industry dynamics and competitive forces to identify growth opportunities

• Continuously expand knowledge of emerging trends, technologies, and best practices

• Understands, supports, enforces, and complies with Company policies, procedures and Standards of Business Ethics and Conduct

• Maintains proficiency and level of knowledge with all systems required for task completion

• Ensures compliance with all state and federal billing regulations and reports any suspected compliance issues to the respective Manager/Supervisor

• Performs miscellaneous duties as assigned

Education / Professional Certifications or Licenses Required:

• Degree in Business Administration or related experience

• MGMA ACMPE membership/knowledge (a plus)

• CPC (a plus)

Experience Requirements:

• 10+ years in healthcare operations, consulting, or related fields

• Passion for collaborating with clients to drive tangible improvements

• Entrepreneurial mindset and proven business development track record

• Expert knowledge of revenue cycle management across the care continuum

• Experience advising senior healthcare executives

• Strong communication, presentation, and storytelling abilities

• Commitment to developing talent and fostering client success

• Experience working in a medical practice environment

• Experience in Pediatrics and Behavioral Health medical billing

• Client relations

• Process improvement

• Proficient with Microsoft Office Suite and Google Docs

• Salesforce knowledge

• CPT and ICD10 knowledge

Salary and Other Compensation:

The salary for this position is between $140,000 - $165,000k 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

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 time in the future.

Sobre a Cognizant
Cognizant (NASDAQ: CTSH) é uma construtora de IA e fornecedora de serviços de tecnologia, criando a ponte entre o investimento em IA e o valor para as empresas por meio do desenvolvimento de soluções de IA completas para nossos clientes. Nossa profunda experiência em setores, processos e engenharia nos permite incorporar o contexto único de cada organização em sistemas tecnológicos que potencializam a capacidade humana, geram resultados tangíveis e mantêm empresas globais à frente em um mundo em rápida transformação. Saiba mais em cognizant.ai ou @cognizant.

A Cognizant é uma empregadora que investe em equidade. Sua candidatura não será pautada em raça, cor, gênero, sexualidade, credo, origem, deficiência, gravidez ou qualquer outra característica protegida pelas leis brasileiras.

Informações adicionais de emprego
Os candidatos podem ser obrigados a comparecer a entrevistas presenciais ou por videoconferência. Além disso, os candidatos podem ser obrigados a apresentar seu documento de identificação emitido pelo estado ou governo atual durante cada entrevista.

Embora nosso sistema permita a candidatura em todos os idiomas, o(s) idioma(s) e o(s) nível(is) de proficiência exigidos para o trabalho variam. No entanto, é necessário um nível básico de inglês para fins de comunicação em toda a empresa.

Se você tem uma deficiência que requer adaptações razoáveis para procurar uma vaga de emprego ou enviar uma candidatura, envie um e-mail para [email protected] com sua solicitação e informações de contato.