Provider Revenue Cycle Management Expert (Remote)

About the Position

Provider Revenue Cycle Management Expert (Remote)

Job description:

As RCM Expert, you will take a lead role in managing large scale transitions and delivering client success. The RCM Expert works closely with the RCM and Transitions teams and clients to ensure seamless and successful transition of contracted RCM functions of the practice, hospital and/or health system. The RCM Expert will work with customers and prospects as a subject matter expert representing Cognizant’s products and services. The RCM Expert provides consultative reviews of revenue cycle performance and recommends process changes and/or improvements to impact overall performance and efficiency of the provider. This role is a high visibility and challenging opportunity and requires high amount of commitment, business acumen, leadership qualities and motivated attitude to perform well.

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 stakeholders.
• 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

Requirements

Education / Professional Certifications or Licenses Required:

• Degree in Business Administration or related experience
• MGMA ACMPE membership/knowledge (a plus)
• CPC (a plus)

Experience Requirements:

• 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

We Offer

Salary and Other Compensation:

The salary for this position is between $140,000 - $165,000 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:

• 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

Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

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.

About the Company

高知特(Cognizant)（纳斯达克代码：CTSH）作为一家AI Builder和相关技术服务提供商，致力于通过打造全栈AI解决方案，帮助企业将人工智能投资转化为实际价值。公司凭借深厚的行业经验、流程优化和工程技术专长，将企业独特的业务场景融入科技系统，赋能组织释放人才潜能，推动切实成果，并帮助全球企业在瞬息万变的环境中保持领先。如需了解更多详情，敬请访问 cognizant.ai 或关注@cognizant。

补充雇佣信息

薪酬信息截至本职位发布之日为准。Cognizant 保留在适用法律允许的范围内随时修改该信息的权利。

申请人可能需要通过现场面试或视频会议的方式参加面试。此外，候选人在每次面试时可能需要出示其当前所在州或政府签发的有效身份证件。

Cognizant 是一家提供平等就业机会的雇主。在招聘过程中，您的申请和候选资格不会因种族、肤色、性别、宗教、信仰、性取向、性别认同、国籍、残疾、遗传信息、怀孕、退伍军人身份或任何其他受联邦、州或地方法律保护的特征而受到影响。

Benefits

我们的福利计划以您为中心打造--帮助您享受充实、平衡且健康的生活。

财务健康

我们会定期审查市场数据，确保薪酬体现您所带来的价值。您的福利不仅限于薪资，还可能包括退休计划、财务教育等。

身心健康

我们通过带薪休假、在条件允许下的灵活工作安排、医疗保障计划、心理咨询、心理健康盟友计划等，赋能您将身心健康放在首位。

您的职业发展，由您做主

在 Cognizant 提供的 35 万多个岗位中，您将有机会探索新的技术、行业和工作地点，并打造推动职业发展的关键技能。

现实世界的影响力

想想您所依赖的那些知名品牌。很可能，他们也依赖我们来帮助强化其业务。在这里，您将把大胆的想法转化为改善全球生活的解决方案。

Career Path at Cognizant

以下是您在招聘流程中可以期待的内容。请注意，具体流程可能因岗位和工作地点而有所不同。欢迎查看我们的常见问题解答以了解更多信息。

Step 1: Apply for the Right Job Opportunity

Find an open position that matches your skills and career goals, and show us why you’re the best fit. Didn’t see the right opportunity? Join our talent community.

Step 2: Connect with Your Recruiter

If our recruiter thinks you’re a good fit, they’ll schedule a brief introductory call to learn more about you, your experience, and how your skills align with the role.

Step 3: Showcase Your Skills

If you and our team are interested in moving forward, you’ll interview with our recruiting team. Some roles may also require a technical assessment and/or customer interview.

Step 4: Make a Decision

Next, our team will evaluate each candidate’s potential to succeed in the role. Since we want to find the best match for you and us, this step may take some time-but rest assured, we’ll keep you updated on the progress.

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