AR Physician Hospital Billing Follow up - Remote

Cognizant Technology Solutions • Hatboro, PA

102d • $20 - $21 • Remote

About The Position

As an AR Physician Hospital Billing Follow Up, you will be responsible for resolving aged hospital account receivables, identifying denial trends, and implementing process improvements to reduce denials. You'll work closely with payers to ensure timely reimbursement and contribute to operational excellence through data-driven insights and collaboration. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and other teams.

Requirements

• Proven experience in AR follow-up for hospital billing, with strong knowledge of RARC and CARC codes.
• Expertise in Medicare, Medicaid, Managed Care, and Commercial payer processes.
• Deep understanding of federal/state billing guidelines and reimbursement methodologies.
• Strong analytical and problem-solving skills to identify and resolve denial root causes.
• Proficiency in Excel for data analysis and reporting.
• Excellent verbal and written communication skills for documentation and appeals.
• Ability to meet productivity and quality standards in a fast-paced environment.

Nice To Haves

• Experience with denial management systems and payer portals.
• Familiarity with Epic system.
• Familiarity with healthcare revenue cycle technologies and automation tools.

Responsibilities

• Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable.
• Analyze denial trends and root causes, including National Correct Coding Initiative (NCCI) edits and payer-specific technical policies.
• Prepare and submit appeal documentation to address denials and underpayments.
• Collaborate with internal teams to implement process improvements that reduce denials and enhance reimbursement.
• Maintain accurate documentation of payer interactions, appeal outcomes, and resolution activities.
• Provide detailed reporting and insights to management using advanced Excel skills.
• Recommend updates to claim edits and work queues to improve efficiency and reduce payment delays.

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

What This Job Offers

• Industry: Professional, Scientific, and Technical Services
• Education Level: High school or GED