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Cognizant
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SPE-AR Management HC

SPE-AR Management HC

Cognizant

1 - 3 years

3 - 5 Lacs

chennai

Posted:3 days ago| Platform:

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Skills Required

accounts receivable receivable management business requirements cpt documentation process improvement icd production target hcpcs coding operations management financial operations claims management product knowledge revenue cycle management communication skills

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Summary

Join our dynamic Accounts Receivable Management team within the US healthcare sector. In this role you will focus on optimizing revenue cycle processes and ensuring efficient management of healthcare products. You will play a critical role in enhancing financial operations and contributing to the overall success of our organization. The position will begin under a hybrid work model and transition to a full Work-from-Office model in Q1/Q2 of 2026 following the implementation of EPIC systems.

Responsibilities

Job Description and Responsibilities

Claims Management

Process and submit insurance claims- Medicare Medicaid commercial payers for medical services.

Prepare review and transmit claims using billing software - electronic and paper.

Review and appeal unpaid or denied claims.

Follow up on unpaid claims within standard billing cycle timeframes.

Monitor aging claims and take necessary steps to secure payment.

Billing & Compliance

Verify patients insurance coverage and eligibility.

Identify and resolve billing discrepancies and disputes.

Ensure compliance with HIPAA Medicare Medicaid and commercial insurance regulations.

Stay updated on payer guidelines coding standards and industry best practices.

Financial Operations and Analysis

Manage accounts receivable processes to ensure timely and accurate billing and collections.

Analyze financial data to identify trends and opportunities for process improvement.

Implement strategies to reduce outstanding receivables and enhance cash flow.

Conduct regular audits to ensure accuracy and integrity of financial records.

Collaboration and Communication:

Collaborate with cross-functional teams to streamline revenue cycle management.

Engage in proactive communication with clients and insurance companies to resolve payment issues.

Support training and development of team members in AR best practices.

Utilize healthcare product knowledge to optimize billing systems and processes.

Maintain high quality standards and meet production targets within allotted shift hours.

Demonstrate strong understanding of CPT ICD-10 HCPCS coding and documentation guidelines.

Other Prerequisites

Readiness to support Operations and for any kind of change management based on business requirements in terms of changes in the shift hours processes projects etc.

This requirement is purely for semi voice process and it includes having interactions with payer representatives over phone calls.

Support project needs during requirements for any project closures or meeting deadlines.

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SPE-AR Management HC