Title: Reimbursement Analyst
Location: Hybrid or Remote – Hybrid if local to Earth City, MO
Job ID: 00061732261
Essential Functions
- Review health plan specific reimbursement policies for compliance with contract or regulatory requirements.
- Create table-based rules based on health plan disclosures and/or generally recognized reimbursement rules (i.e. CPT, CCI, CMS).
- Maintain the Claims Reimbursement database. Ensure edit rules and tables are current.
- Work with other members of the operations unit to support the overall growth of the company.
- Contribute to the improvement of business processes and communicates ideas effectively.
- Perform all duties and responsibilities as assigned.
Qualifications
Minimum Qualifications:
Familiar with medical/clinical nomenclature
Experience with CPT, CCI, CMS or healthplan plan specific rules for claim payment
Knowledge of healthplan/provider contracting and fee schedules
Competent with Microsoft Excel, and Word
Demonstrated excellent written and oral communication skills.
Excellent interpersonal, communication and organizational skills.
Ability to solve problems through research, persistence, and creativity.
Preferred Qualifications
Certified Professional Biller (CPB)
Bachelor’s degree in healthcare industry
Desired Experience
- Healthcare (Health Plan) industry experience preferred.
Behavioral Competencies
- Strong written and verbal communication skills with the ability to communicate with all levels of management.
- Strong presentation skills with the ability to present to all levels of management.
Technical Competencies
- Proficiency in Microsoft Office applications including Word, Excel and PowerPoint.
- Understanding of healthcare contracting and reimbursement policies.
Salary And Other Compensation
Applications will be accepted until December 25th, 2024
The annual salary for this position is between $60K-$65K 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 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 salary, 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.
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!
Apply Now!
