SME-Enrollment & Billing

About the Position

SME-Enrollment & Billing

Serve as a subject matter expert in enrollment and billing for a leading global payer organization applying strong MS Office proficiency and deep understanding of HIPAA to support accurate member data management, timely premium processing, and compliant reporting in a hybrid night shift role that ensures high quality service and operational excellence.

Responsibilities

• Manage end-to-end enrollment and billing activities for payer member accounts ensuring timely and accurate onboarding, updates, and terminations to support uninterrupted coverage and premium collection.
• Analyze enrollment and billing data using MS Office tools to identify discrepancies, trends, and root causes then document findings clearly to support corrective actions and process optimization.
• Validate member eligibility, plan selections, and premium calculations against payer business rules and regulatory requirements to maintain data integrity across core systems.
• Coordinate closely with operations, configuration, and finance teams to resolve enrollment and billing issues promptly minimizing revenue leakage and impact on member experience.
• Create and maintain detailed process documentation, job aids, and reference materials for enrollment and billing workflows that help standardize practices across hybrid team members.
• Prepare recurring and ad hoc reports in spreadsheets and presentations that summarize enrollment volumes, billing status, and aging items to inform management decisions.
• Apply HIPAA knowledge to safeguard protected health information in all enrollment and billing activities including secure handling of files, emails, and system access practices.
• Respond to complex internal inquiries related to member enrollment status, premium payments, and adjustments explaining resolution steps clearly and setting realistic expectations on timelines.
• Support quality assurance reviews by providing transaction-level details, clarifications, and evidence and implement agreed remediation steps to improve accuracy and compliance.
• Contribute to continuous improvement initiatives by suggesting practical enhancements to templates, macros, and validation checks in office productivity tools that reduce manual effort and errors.
• Collaborate with training and operations stakeholders to onboard new team members in night shift sharing domain insights on payer-specific enrollment and billing nuances through structured walkthroughs.
• Monitor daily work queues and service level commitments prioritizing high-impact enrollment and billing tasks to ensure timely completion and positive impact on member satisfaction.
• Participate in periodic audits and internal reviews related to enrollment and billing processes providing transparent responses and supporting documentation that demonstrate strong control adherence.

Requirements

• Possess three to four years of hands-on experience in payer domain enrollment and billing operations including member data maintenance, premium processing, and adjustment handling.
• Demonstrate strong practical proficiency in office productivity software for data analysis, reporting, documentation, and communication within a fast-paced operations environment.
• Exhibit sound working knowledge of HIPAA regulations as they relate to enrollment and billing applying privacy and security principles consistently in daily work.
• Show proven ability to interpret payer plan rules, benefit structures, and billing modalities translating them into accurate system updates and calculations.
• Display effective written and verbal communication skills suitable for night shift collaboration with cross-functional teams and stakeholders.
• Maintain high attention to detail, numerical accuracy, and problem-solving aptitude when handling large volumes of enrollment and billing transactions.
• Adapt well to a hybrid work model using secure remote access and collaboration tools to maintain productivity, compliance, and service quality without travel requirements.

We Offer

• Competitive compensation and benefits package.
• Opportunity to work in a dynamic and innovative environment.
• Professional development and career growth opportunities.

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.

Additional employment information

Compensation 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.

Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government-issued ID during each interview.

Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status, or any other characteristic protected by federal, state, or local laws.

If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.

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Benefits that help you thrive and grow

Our benefits program is built with you in mind-so you can enjoy a fulfilling, balanced, and healthy life.

Financial wellbeing

We regularly review market data to ensure compensation reflects the value you bring. Your benefits extend beyond pay and may include retirement plans, financial education, etc.

Physical and mental health

We empower you to prioritize your wellbeing through paid time off, flexible working where possible, healthcare plans, counselling, our Mental Health Allyship program, and more.

Your career, your way

With 350,000+ roles at Cognizant, you’ll have opportunities to explore new technologies, industries, and locations-and build the skills you need to grow your career.

Real-world impact

Think about the biggest brands you rely on. Chances are, they rely on us to help strengthen their business. Here, you’ll turn bold ideas into solutions that improve lives everywhere.

Your path to Cognizant

Here’s what you can expect from our hiring process. Please keep in mind that it may vary by role and location. Explore our FAQs to learn more.

Step 1: Apply to the right opportunity

Find an open role that matches your skills and career goals and show us why you’re the person for the job. Don’t see the right opportunity? Consider joining our Talent Community.

Step 2: Connect with your recruiter

If one of our recruiters sees a fit, they’ll set up a short intro call to learn more about you and how your experiences and skills match the role.

Step 3: Show off your skills

If you and our team would like to continue the process, you’ll interview with our hiring team. Some roles may also require technical assessments and/or client interviews.

Step 4: Decision time

Our team will then review each candidate’s potential to succeed in the role. This step may take some time because we want to find the right fit for both you and us-but you can count on us to keep you updated.

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