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Company

Cognizant · 5 hours ago

Provider Revenue Cycle Management Expert (Remote)

Earth City, MO

Full-time

Remote

Senior Level, Lead/Staff

$140K/yr - $180K/yr

10+ years exp

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ConsultingIndustrial Automation

No H1B

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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

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Revenue Cycle ManagementHealthcare OperationsClient RelationsProcess ImprovementBusiness DevelopmentCPT KnowledgeICD10 KnowledgeMicrosoft Office SuiteGoogle DocsSalesforce KnowledgePediatrics BillingBehavioral Health BillingStrategic GuidanceLeadership Qualities