About the Role In this role you will perform advanced level work related to resolution of hospital claims. You will be responsible for resolving aged hospital accounts receivables, identifying denials trends, and implementing process improvements to reduce denials. In this role, you will: •Maintain accurate documentation of pay interactions, appeal outcomes, and resolution activities. •Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. •Analyze denial trends and root causes, including National Correct Coding initiatives (NCCI) edits and payer-specific technical policies. •Prepare and submit appeal documentation to address denials and underpayments. •Collaborate with internal teams to reduce denials and improve reimbursement processes. •Support team success by assisting with other responsibilities as assigned. Work schedule: Monday through Friday – day shift hours EST. This is a remote position open to qualified applicants across the United States. We prioritize flexibility and support your wellbeing through a variety of programs designed to promote a healthy work-life balance. Please note: Working arrangements are accurate as of the posting date and may evolve based on project or client needs. If changes occur, we will communicate expectations clearly. What you need to have to be considered: •High school diploma or GED •Proven experience working in healthcare revenue cycle with specializing in hospital claims. •Expertise in Medicare, Medicaid, Managed Care, and Commercial payer processes. •Strong grasp of federal/state billing guidelines and reimbursement methodologies. •Clear and effective communications abilities •Familiarity with HIPAA, RARC and CARC codes. •Sharp analytical and critical thinking skills to resolve denial root causes. These will help you stand out: •Associate’s degree •Experience with denial management systems and payer portals •Proficiency in Excel for data analysis and reporting •Hands-on experience with Epic software. 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. We are excited to meet people who share our mission and can make an impact in a variety of ways. Do not 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. Hourly Rate and Other Compensation: Applications will be accepted until October 13, 2025. The hourly rate for this position is between $20.00 – $21.50 per hour depending on the 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 Disclaimer: The hourly rate, 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 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.