What are the responsibilities and job description for the Revenue Recovery Specialist (remote) position at Cognizant?
Revenue Recovery Specialist (remote)
This is a remote position open to any qualified applicant in the United States.
Job Summary:
In this role the successful candidate under the general supervision of the Associate Director of Projects that performs advanced 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.
Job Duties/Tasks:
Utilizes Advanced 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 commitment for payment
Escalates Payers 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 escalation
Serves as a subject matter expert in the Payer contract dispute resolution process
Qualifications:
High school diploma or GED is REQUIRED
RCM experience needed 3-5 years
Healthcare Collections experience 3-5 years
Salary and Other Compensation:
Applications will be accepted until December 9, 2024.
The annual salary for this position is between $63,000 - $74,500, 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.
Salary : $63,000 - $74,500