Physician Cardio AR Follow Up - remote

Mainstreetwashington; Des Moines (IA); Remote; Full time

Job summary

A leading company is seeking a professional to manage physician cardio claim denials. The role involves analyzing claims, communicating with payers, and implementing process improvements. Ideal candidates will have experience in healthcare revenue cycles, particularly in cardiology, and strong problem-solving skills. Competitive hourly rate and benefits are offered.

Benefits

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

Qualifications

• 2-3 years experience in healthcare revenue cycle with specialty in physician cardiology.
• Must meet quality and productivity standards.

Responsibilities

• Perform root cause analysis of physician payer denials.
• Communicate with payers to resolve payment variances.

Skills

Problem Solving

Critical Thinking

Effective Communication

Education

Associates or Bachelors

Tools

Excel

Payer Portals

Claims Clearinghouses

Job description

Cognizant is one of the world’s leading professional services companies, we help our clients modernize technology, reinvent processes, and transform experiences, so they can stay ahead in our constantly evolving world. Do you thrive in a busy environment and are you able to multi-task successfully? If so, please apply today!

In this role you will perform advanced level work related to resolution of physician cardio claim denials. You will be responsible for root cause analysis of physician payer denials, experience in identifying procedures impacted by National Correct Coding initiatives edits (NCCI), technical payer policies, appeal documentation and resolution. This position will be responsible for identification, collaboration, and implementation of process initiatives to reduce denials.

Highlights:

• Demonstrate knowledge and expertise in state/federal billing guidelines, reimbursement methodologies, and payer policies.

• Examine denied and underpaid claims to determine the reason for discrepancies.

• Communicate directly with payers to follow up on outstanding claims, file technical appeals, resolve payment variances, and ensure timely reimbursement.

• Ability to identify specific reasons for underpayments, denials, and cause of payment delay.

• Makes recommendations for additions/revisions/deletion to work queues and claim edits to improve efficiency to reduce denials and underpayments.

• Will summarize and provide detailed reporting to management and client.

• Tracks and trends claim denials and underpayments to identity initiatives for payer, process, or technology improvement plans.

• Other duties as assigned by management.

Requirements:

• 2-3 years of experience working in healthcare revenue cycle with specialty in physician cardiology.

• Associates or bachelors preferred or equivalent experience in denial management.

• Exceptional problem solving and critical thinking skills.

• Must be able to meet quality and productivity standards.

• Effective communication skills.

• Documented technical skills, strong Excel, Payer Portals, and Claims Clearinghouses.

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.

Hourly Rate and Other Compensation:

Applications will be accepted until May 16, 2025.

The hourly rate for this position is between $19.00 - $21.00 per hour, 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 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 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.