Provider Revenue Cycle Management Expert (Remote)

About the Position

Provider Revenue Cycle Management Expert (Remote)

As an 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. This role is a high visibility and challenging opportunity and requires a high amount of commitment, business acumen, leadership qualities, and a 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 contractual obligations and set expectations 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 manage client requests for additional information related 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 and recommend best practices to ensure outcomes that will meet client expectations
• Collaborate with team members and clients to determine current process gaps and assist with developing future processes
• Investigate claims using the A/R Analysis Report, Claims and AR, rejections, acknowledgements, and any other tools necessary to determine and resolve problems for the client’s revenue cycle
• Report and discuss inconsistencies and/or discrepancies found during the analysis of the client’s end-to-end RCM processes
• Ability to represent and effectively communicate results to executive leadership at provider offices and hospitals and health systems
• Participate in professional/company development activities
• Ensure strict confidentiality of client records
• Meet 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
• Understand, support, enforce, and comply with Company policies, procedures, and Standards of Business Ethics and Conduct
• Maintain proficiency and level of knowledge with all systems required for task completion
• Ensure compliance with all state and federal billing regulations and report any suspected compliance issues to the respective Manager/Supervisor
• Perform 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

About the Company

Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process, and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, drive tangible outcomes, and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.

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.