Medical Account Specialist

Description:

The Accounts Receivable Specialist role responsibilities include following up directly with commercial and governmental payers to resolve claim issues and secure appropriate and timely reimbursement. Identify and analyze denials and payment variances and take action to resolve account including drafting and submitting technical appeals.

• 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 with specific reason underpayments, denials, and cause of payment delay.
• Works with management to identify, trend, and address the root causes of issues in the A/R.
• Maintain a thorough understanding of federal and state regulations, as well as payer-specific requirements and take appropriate action accordingly.
• Document activity accurately including contact names, addresses, phone numbers, and other pertinent information.
• Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management.
• Needs to be a strong problem solver and critical thinker to resolve accounts. Must meet productivity and quality standards.

Working knowledge of hospital revenue cycle, Commercial and Managed Care payors rules, Appeal writing and Epic.

Cognizant will only consider applicants for this position whom are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.

Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.

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.