Cognizant Recruitment Drive; Hiring Data Process Executive – Apply Now

Cognizant seeking a dedicated Process Executive - HC with 0 to 1 year of experience to join their team. The ideal candidate will have mandatory technical skills in Claims Adjudication and a keen interest in commercial claims and payer domains. This role involves processing and managing healthcare claims efficiently ensuring accuracy and compliance with industry standards. Candidates are advised to apply soon, before the link expires

Name of the Organization: Cognizant

Requisition ID: 00060502801

Positions: Process Executive - Data

Location: Chennai (Hybrid)

Salary: As per company Norms

Educational Qualifications:

• Possess a strong understanding of claims adjudication processes and procedures.
• Demonstrate excellent analytical and problem-solving skills.
• Exhibit strong attention to detail and accuracy in claims processing.
• Have good communication skills to interact with healthcare providers and payers.
• Show proficiency in using claims adjudication software and other relevant tools.
• Display the ability to work collaboratively in a team environment.
• Maintain knowledge of healthcare regulations and payer policies.
• Have a basic understanding of commercial claims claims and payer domains.
• Demonstrate the ability to manage multiple tasks and prioritize effectively.

Certifications Required:

• Certified Professional Coder (CPC) or equivalent certification in claims adjudication.

Responsibilities:

• Process healthcare claims accurately and efficiently to ensure timely adjudication.
• Review and analyze claims data to identify discrepancies and ensure compliance with industry standards.
• Collaborate with team members to resolve complex claims issues and provide support as needed.
• Maintain up-to-date knowledge of healthcare regulations and payer policies to ensure accurate claims processing.
• Utilize claims adjudication software to input and manage claims data effectively.
• Communicate with healthcare providers and payers to obtain necessary information for claims processing.
• Monitor and track claims status to ensure timely resolution and payment.
• Provide excellent customer service by addressing inquiries and resolving issues related to claims.
• Participate in training sessions to stay current with industry changes and updates.
• Assist in the development and implementation of process improvements to enhance claims adjudication efficiency.
• Generate reports and analyze claims data to identify trends and areas for improvement.
• Ensure confidentiality and security of patient information in compliance with HIPAA regulations.
• Support the team in achieving departmental goals and objectives through effective claims management.

 

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