Reimbursement Technical Analyst

2 weeks ago

Santa Fe, United States New Mexico Staffing Full time

Reimbursement Technical Analyst As a Reimbursement Technical Analyst Associate, you will ensure accurate and compliant reimbursement processes for healthcare professional services. You will collaborate closely with configuration analysts and other operational stakeholders to maintain and improve claims reimbursement systems. In this role, you will: Review health plan-specific reimbursement policies for compliance with contractual and regulatory requirements. Create and maintain table-based rules using health plan disclosures and industry standards (CPT, CCI, CMS). Manage and update the Claims Reimbursement database to ensure edit rules and tables remain current. Partner with operations teams to support organizational growth and process improvements. Communicate ideas effectively and contribute to enhancing business processes. Work model: This is a remote position open to qualified applicants in the United States. We support a healthy work-life balance through various wellbeing programs. What you need to have to be considered: Familiarity with medical/clinical nomenclature. Experience with CPT, CCI, CMS, or health plan-specific rules for claim payment. Knowledge of health plan/provider contracting and fee schedules. Proficiency in Microsoft Excel and Word. Strong written and oral communication skills. Excellent interpersonal, organizational, and problem-solving abilities. These will help you stand out: Bachelor's degree in a healthcare-related field. Experience with dispute resolution and physician billing. Certification as a Professional Biller (CPB) or Professional Coder (CPC). Salary and other compensation: The annual salary for this position will be in the range of $63K-$74K 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 Cogniant's applicable plans. Benefits: Cogniant 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 salary, other compensation, and benefits information is accurate as of the date of this posting. Cogniant reserves the right to modify this information at any time, subject to applicable law. Our strength is built on our ability to work together. Our diverse backgrounds offer different perspectives and new ways of thinking. It encourages lively discussions, creativity, productivity, and helps us build better solutions for our clients. We want someone who thrives in this setting and is inspired to craft meaningful solutions through true collaboration. If you are content with ambiguity, excited by change, and excel through autonomy, we'd love to hear from you 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.

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