Healthcare Facets Encounter Claims Consultant
Apply NowCompany: Cognizant
Location: Cincinnati, OH 45238
Description:
About Us:
Cognizant (Nasdaq: CTSH) is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life.
Job Summary:
The Claims Encounters Consultant is responsible for providing customers with application domain expertise related to EDI files like 837P,837I,837D and few other types. This role involves in ensuring accurate and timely submission of encounters for varies markets. The position requires excellent general consulting and EDI skills and is remote participation.
Job Title: Facets Claims Encounter Consultant
Location: Remote
Job ID: SO# 00062542311
The Role: Individual Contributor External Facing Role
Role and Responsibilities:
Required Experience:
Salary and Other Compensation:
Applicants will be accepted till 5/21/2025
The annual salary for this position will be in the range of $82K-$105K depending on the 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:
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!
The Cognizant community:
We are a high caliber team who appreciate and support one another. Our people uphold an energetic, collaborative and inclusive workplace where everyone can thrive.
About us:
Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant (a member of the NASDAQ-100 and one of Forbes World's Best Employers 2024) is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.
Disclaimer:
Compensation 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.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
Cognizant (Nasdaq: CTSH) is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life.
Job Summary:
The Claims Encounters Consultant is responsible for providing customers with application domain expertise related to EDI files like 837P,837I,837D and few other types. This role involves in ensuring accurate and timely submission of encounters for varies markets. The position requires excellent general consulting and EDI skills and is remote participation.
Job Title: Facets Claims Encounter Consultant
Location: Remote
Job ID: SO# 00062542311
The Role: Individual Contributor External Facing Role
Role and Responsibilities:
- Ensuring accurate and timely submission of encounter data.
- Maintaining the accuracy and completeness of encounter data, including member information, service dates, and procedure codes.
- Identifying and resolving encounter rejections, often related to claims data or eligibility
- Adhering to compliance standards and regulatory requirements for encounter data submissions.
- Developing and implementing business processes to improve encounter acceptance rates and streamline submissions.
- Analyzing encounter data to identify trends, patterns, and areas for improvement.
- Communicating with vendors, internal stakeholders, and payers to ensure successful implementation and address issues.
Required Experience:
- 10 years of healthcare experience, with 5 years of recent and relevant EDI implementation.
- Strong understanding of EDI standards and encounter data formats.
- Strong Experience on FACETS - Claims module.
- Experience with encounter data submissions and resolution.
- Knowledge of healthcare billing and coding regulations.
- Data analysis and problem-solving skills.
- Attention to detail and accuracy
- Communication and interpersonal skills.
Salary and Other Compensation:
Applicants will be accepted till 5/21/2025
The annual salary for this position will be in the range of $82K-$105K depending on the 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!
The Cognizant community:
We are a high caliber team who appreciate and support one another. Our people uphold an energetic, collaborative and inclusive workplace where everyone can thrive.
- Cognizant is a global community with more than 300,000 associates around the world.
- We don't just dream of a better way - we make it happen.
- We take care of our people, clients, company, communities and climate by doing what's right.
- We foster an innovative environment where you can build the career path that's right for you.
About us:
Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant (a member of the NASDAQ-100 and one of Forbes World's Best Employers 2024) is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.
Disclaimer:
Compensation 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.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.