Revenue Recovery Specialist (remote) jobs in United States
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Cognizant · 1 week ago

Revenue Recovery Specialist (remote)

Cognizant is a leading provider of IT services and solutions, and they are seeking a Revenue Recovery Specialist to manage healthcare payer claim line underpayments. The role involves utilizing advanced tools to track underpayments and requires strong communication skills and knowledge of medical terminology.

ConsultingIndustrial AutomationInformation TechnologySoftwareSoftware Engineering
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H1B Sponsor Likelynote

Responsibilities

Utilizing the Advanced Reimbursement Analysis (ARM) tool to identify, track, and trend underpayments
Possessing a basic understanding of the entire RCM process
Maintaining a comprehensive knowledge of HCPCS/ICD/CPT coding and specific carrier requirements
Identifying trends and patterns to better resolve accounts and generate bulk payments
Recognizing problems or trends and providing suggestions for resolutions
Demonstrating strong knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes
Analyzing claim lines to identify contractual underpayments or billing errors
Resolving underpaid claims from various payer products, including HMO, PPO, Medicaid, Medicare, and Workers' Compensation
Articulating contract provisions to representatives from healthcare payer companies and government agencies
Contacting payer via phone, portal, or written correspondence to initiate payment requests
Performing appropriate follow-up with payers and gaining commitment for payment
Escalating lack of response or payment within the payer organization as appropriate
Identifying and communicating contract interpretation issues and language discrepancies to leadership
Identifying payer trends and communicating them to the supervisor for further action or escalation
Serving as a subject matter expert in the payer contract dispute resolution process

Qualification

RCM experienceHealthcare Collections experienceExcel knowledgePayer portals familiarityCommunication skills

Required

High school diploma or GED is Required
RCM experience needed 3-5 years
Healthcare Collections experience 3-5 years
Excel knowledge- Pivot tables

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

Company

Cognizant

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Cognizant is a professional services company that helps clients alter their business, operating, and technology models for the digital era.

H1B Sponsorship

Cognizant has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11113)
2024 (11423)
2023 (13054)
2022 (13876)
2021 (12651)
2020 (28659)

Funding

Current Stage
Public Company
Total Funding
$0.24M
Key Investors
Summit Financial Wealth Advisors
2025-03-08Post Ipo Equity
2016-11-18Post Ipo Equity· $0.24M
1998-06-19IPO

Leadership Team

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Ravi Kumar S
Chief Executive Officer
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Anil Cheriyan
CTO / EVP Strategy & Technology
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Company data provided by crunchbase