Job Details

Ar Physician Hospital Billing Follow Up

We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs. About the role: 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.

In this role, you will:

• 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.

What you need to have to be considered:

• 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.

These will help you stand out:

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

Required Education and Experience:

• High School degree or GED or equivalent experience.

Salary and Other Compensation:

Applications will be accepted until October 10th, 2025. The hourly rate for this position is between $20 - $21.60 per hour depending on experience and other qualifications of the successful candidate.

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 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. 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.