Job Details

divh2Accounts Receivable Specialist (Remote)/h2pThis is a remote position open to any qualified applicant in the United States. In this role, the successful candidate performs advanced level work related to resolution of physician claim denials. This position will be responsible for root cause analysis of physician payer denials, experience in identifying procedures impacted by National Correct Coding Initiative Edits (NCCI), technical payer policies, appeal documentation, and resolution. In addition, this position will be responsible for identification, collaboration, and implementation of process initiatives to reduce denials./ppHighlights:/pulliPossess basic knowledge of entire RCM process/liliRecognizes problems or trends and provides suggestions to help find resolutions/liliStrong knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes and specific carrier requirements knowledge/lili2 to 3 years experience working in RCM specifically collections/liliAbility to follow up on outstanding AR/liliAbility to review, interpret EOBs 835 and 837 and respond using medical guidelines and policies/liliPrioritize pending claims from aging basket and follow up at regular intervals to collect outstanding/liliKnowledge in writing appeals and following thru appeals process/liliResolve accounts to get paid with max 2 touches/liliCommunicates with leadership regarding specific reimbursement issues/liliStrong analytical skills and ability to meet assigned deadlines/liliExceptional problem solving and critical thinking skills to root cause denials and resolve accounts/liliMust meet quality and productivity standards/liliDemonstrates knowledge and expertise in state, federal billing guidelines, reimbursement methodologies, and payer policies/liliMakes recommendations for additions, revisions, deletions to work queues and claim edits to improve efficiency to reduce denials and underpayments/liliExceptional Excel skills to summarize and provide detailed reporting to management and client/liliTracks and trends claim denials and underpayments to identify initiatives for payer process or technology improvement plans/liliStrong communication skills both verbal and written to ensure all actions taken are documented, appeal letters are effective, and root cause is communicated/li/ulpJob Duties:/pulliThe Accounts Receivable Specialist role responsibilities include following up directly with payers to resolve claim issues and secure appropriate and timely reimbursement/liliIdentify and analyze denials and payment variances and take action to resolve account including drafting and submitting technical appeals/liliExamine denied and underpaid claims to determine the reason for discrepancies/liliCommunicate directly with payers to follow up on outstanding claims, file technical appeals, resolve payment variances, and ensure timely reimbursement/liliAbility to identify with specific reason underpayments, denials, and cause of payment delay/liliWorks with management to identify trends and address the root causes of issues in the AR/liliMaintain a thorough understanding of federal and state regulations as well as payer specific requirements and take appropriate action accordingly/liliDocument activity accurately including contact names, addresses, phone numbers, and other pertinent information/liliDemonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management/liliNeeds to be a strong problem solver and critical thinker to resolve accounts/liliMust meet productivity and quality standards/li/ulpPreferred Qualifications:/pulliAssociates or Bachelors preferred or equivalent experience in denial management/liliDocumented technical skills, Excel, Payer Portals, and Claims Clearinghouses/li/ulpSalary and Other Compensation:/ppApplications will be accepted until January 21, 2026. The annual salary for this position is between $50,000 - $55,000 depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizants discretionary annual incentive program, based on performance and subject to the terms of Cognizants applicable plans./ppBenefits:/pulliMedical/Dental/Vision/Life Insurance/liliPaid holidays plus Paid Time Off/lili401(k) plan and contributions/liliLong-term/Short-term Disability/liliPaid Parental Leave/liliEmployee Stock Purchase Plan/li/ulpDisclaimer: 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 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./p/div