Provider Revenue Cycle Management Expert (Remote) jobs in United States
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Cognizant · 1 day ago

Provider Revenue Cycle Management Expert (Remote)

Cognizant is a leading provider of IT services and solutions, and they are seeking a Provider Revenue Cycle Management Expert. This role involves managing large scale transitions, providing strategic guidance to healthcare leadership, and ensuring successful revenue cycle operations for clients.

ConsultingIndustrial AutomationInformation TechnologySoftwareSoftware Engineering
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Responsibilities

Develop trusted advisor relationships with healthcare leadership and provide strategic guidance
Lead complex transition engagements improving financial outcomes for clients
Perform due diligence during the transition period to align with the contractual obligations and set expectations on the transition with the client and internal stake holders
Document and create Work Instructions (WIs) and Standard Operating Procedures (SOPs)
Effectively communicate with clients, internal teams and stakeholders to provide updates on the progress of transition
Assist with establishing and monitoring KPIs to evaluate the success of transition projects and make data driven decisions
Provide expertise in revenue cycle, clinical integration, and financial turnarounds
Design innovative solutions to pressing revenue cycle challenges
Proactively manages client requests for additional information as it relates to: revenue cycle services, opportunity identification, etc
Contribute to practice strategy, capability development, talent acquisition
Build strategic relationships with clients, assuring that they are fully leveraging all of Cognizant RCM capabilities, products and services
Evaluate then recommend best practices to ensure outcomes that will meet client expectations
Collaborates with team members and clients to determine current process gaps and assist with developing future processes
Investigates claims using the A/R Analysis Report, Claims and AR, rejections and acknowledgements, and any other tools necessary to determine and resolve problems for the client’s revenue cycle
Reports and discusses inconsistencies and/or discrepancies found during our analysis of the clients end to end rcm processes
Ability to represent and effectively communicate results to executive leadership at provider offices and hospitals and health systems
Participates in professional/company development activities
Ensures strict confidentiality of client records
Meets routine deadlines and work schedules as well as timely and accurate completeness of special projects
Monitor industry dynamics and competitive forces to identify growth opportunities
Continuously expand knowledge of emerging trends, technologies, and best practices
Understands, supports, enforces, and complies with Company policies, procedures and Standards of Business Ethics and Conduct
Maintains proficiency and level of knowledge with all systems required for task completion
Ensures compliance with all state and federal billing regulations and reports any suspected compliance issues to the respective Manager/Supervisor
Performs miscellaneous duties as assigned

Qualification

Revenue Cycle ManagementHealthcare OperationsClient RelationsProcess ImprovementCPTICD10 KnowledgeSalesforce KnowledgeBusiness AcumenMicrosoft Office SuiteGoogle DocsCommunicationPresentation SkillsTeam CollaborationLeadership Qualities

Required

Degree in Business Administration or related experience
10+ years in healthcare operations, consulting, or related fields
Passion for collaborating with clients to drive tangible improvements
Entrepreneurial mindset and proven business development track record
Expert knowledge of revenue cycle management across the care continuum
Experience advising senior healthcare executives
Strong communication, presentation, and storytelling abilities
Commitment to developing talent and fostering client success
Experience working in a medical practice environment
Experience in Pediatrics and Behavioral Health medical billing
Client relations
Process improvement
Proficient with Microsoft Office Suite and Google Docs
Salesforce knowledge
CPT and ICD10 knowledge

Preferred

MGMA ACMPE membership/knowledge (a plus)
CPC (a plus)

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.

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