Company
Cognizant
Job Role
PE – Provider Services
Job ID
000676860121
Location
Chennai, India
Work Model
Hybrid (Night Shift Required)
Job Summary
Cognizant is hiring for the role of PE – Provider Services. This position focuses on Claims Adjudication and Provider Enrollment processes in the healthcare domain. The role involves improving operational efficiency, ensuring compliance, and delivering seamless provider services.
Responsibilities
Analyze claims adjudication processes and identify improvement areas
Collaborate with cross-functional teams to enhance provider services
Manage claims data and ensure accurate processing
Support provider enrollment by verifying credentials and maintaining records
Monitor claims processing for compliance with industry standards
Prepare reports on claims adjudication outcomes
Assist in improving provider service strategies and customer satisfaction
Handle provider queries related to claims and enrollment
Develop training materials for provider services team
Implement best practices to reduce errors and improve quality
Participate in team discussions and share insights
Maintain confidentiality of sensitive data
Support continuous improvement initiatives
Qualifications
Proficiency in claims adjudication processes
Strong analytical and problem-solving skills
Good communication skills
Knowledge of provider enrollment procedures
High attention to detail
Ability to work independently in a fast-paced environment
Commitment to quality and compliance
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