Hospital AR Follow up - remote

Cognizant; Charleston (WV); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare services company is seeking a Hospital Claims Specialist to resolve aged hospital accounts receivables and implement process improvements. This remote position requires expertise in healthcare revenue cycle management, particularly Medicare and Medicaid. Ideal candidates will have strong analytical skills and effective communications abilities. The hourly rate ranges from $20.00 to $21.50 based on experience, offering various benefits like health insurance and paid time off.

Benefits

Medical/Dental/Vision/Life Insurance

Paid holidays plus Paid Time Off

401(k) plan and contributions

Paid Parental Leave

Qualifications

• Proven experience in healthcare revenue cycle specializing in hospital claims.
• Strong understanding of federal/state billing guidelines.
• Experience with denial management systems.

Responsibilities

• Maintain documentation of pay interactions and resolution activities.
• Analyze denial trends and root causes.
• Collaborate with internal teams to improve reimbursement processes.

Skills

Expertise in Medicare

Analytical skills

Clear communication

Familiarity with HIPAA

Education

High school diploma or GED

Associate’s degree

Tools

Epic software

Excel

Job description

About the Role

In this role you will perform advanced level work related to resolution of hospital claims. You will be responsible for resolving aged hospital accounts receivables, identifying denials trends, and implementing process improvements to reduce denials.

Responsibilities

• Maintain accurate documentation of pay interactions, appeal outcomes, and resolution activities.
• Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable.
• Analyze denial trends and root causes, including National Correct Coding initiatives (NCCI) edits and payer-specific technical policies.
• Prepare and submit appeal documentation to address denials and underpayments.
• Collaborate with internal teams to reduce denials and improve reimbursement processes.
• Support team success by assisting with other responsibilities as assigned.

Work schedule and Location

Work schedule: Monday through Friday – day shift hours EST.

This is a remote position open to qualified applicants across the United States. We prioritize flexibility and support your wellbeing through a variety of programs designed to promote a healthy work-life balance.

Please note: Working arrangements are accurate as of the posting date and may evolve based on project or client needs. If changes occur, we will communicate expectations clearly.

Qualifications

• High school diploma or GED
• Proven experience working in healthcare revenue cycle with specializing in hospital claims.
• Expertise in Medicare, Medicaid, Managed Care, and Commercial payer processes.
• Strong grasp of federal/state billing guidelines and reimbursement methodologies.
• Clear and effective communications abilities
• Familiarity with HIPAA, RARC and CARC codes.
• Sharp analytical and critical thinking skills to resolve denial root causes.

Preferred qualifications

• Associate’s degree
• Experience with denial management systems and payer portals
• Proficiency in Excel for data analysis and reporting
• Hands-on experience with Epic software.

Additional information

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.

We are excited to meet people who share our mission and can make an impact in a variety of ways. Do not hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.

Compensation and Benefits

Hourly Rate and Other Compensation:

Applications will be accepted until October 13, 2025.

The hourly rate for this position is between $20.00 – $21.50 per hour depending on the 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 hourly rate, 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 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.