**About the role** As a Cardio Accounts Receivable Physician - Follow Up, you will make an impact by performing root cause analysis physician payer denials, identify procedures impacted by National Correct Coding Initiative Edits (NCCI), work with 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. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. **In this role, you will:** + **Resolution of Claim Denials** : Perform advanced work related to resolving physician claim denials. + **Root Cause Analysis** : Identify the root causes of physician payer denials and implement solutions. + **NCCI Edits** : Understand procedures impacted by National Correct Coding Initiative Edits (NCCI). + **Appeal Documentation** : Prepare and submit appeal documentation to resolve denials. + **Process Improvement** : Collaborate on and implement initiatives to reduce denials. + **Problem Solving** : Use exceptional problem-solving and critical thinking skills to resolve accounts and meet quality and productivity standards. + **Billing Guidelines** : Demonstrate knowledge of state/federal billing guidelines, reimbursement methodologies, and payer policies. + **Recommendations** : Suggest additions, revisions, or deletions to work queues and claim edits to improve efficiency. + **Pattern Identification** : Identify patterns in denials and escalate to management with sufficient information for follow-up. + **Excel Skills** : Use Excel to summarize and provide detailed reporting to management and clients. + **Tracking and Trending** : Track and trend claim denials and underpayments to identify improvement initiatives. + **Communication** : Ensure all actions are documented, appeal letters are effective, and root causes are communicated clearly We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs. The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations. **What you need to have to be considered** + **Experience** : 2-3 years in healthcare revenue cycle. + **Education** : HS Diploma. Associate or bachelor’s degree preferred. + **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. **Salary and Other Compensation** : Applications will be accepted until August 5 th , 2025 The hourly rate for this position is between $19.00 – 21.00 per hour, depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans. **Benefits** : Cognizant offers the following benefits for this position, subject to applicable eligibility requirements: · 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 We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role. Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future. 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.