Qualifications:
Cognizant ,Educational qualifications (excluding:
BE / BTech / MCA
For a bachelor’s degree in nursing or a health-related field for medical administration.
Responsibilities:
Business/client:
Data Operations:
- Ensure the highest level of customer satisfaction.
- Try to understand and answer the problem/question first.
- Maintain on-demand job monitoring.
For NA, medical management and benefit coding:
- Respond to data requests and produce accurate customer reports in a timely manner.
- Speak / communicate in a way that customers / customers can understand.
Claims, RCM and Member Services: - Efficiently process a predetermined number of questions/writes with maximum accuracy approved by the client.
For RCM:
- Increase the problem received in different groups.
- Support team to achieve SLA and TAT related to Communication, Payments, PIA and Writing.
- Delivering quality standards as defined by customer.
Audio operation:
- Claims, RCM and Member Services:
- Call and respond to customers / end users according to agreed time frames.
- Transfer calls related to the next level of service to the appropriate department based on the instructions provided.
Project/Operation:
- Develop a thorough understanding of the procedure.
- Prepare, submit, etc. information as defined in the SOP. complete procedure for
- 100% adherence to transaction processing deadlines.
- Perform compliance audits (SAS 70, SOX, Legal Audit) of all operations as outlined in operational documentation.
- Ensure compliance and adherence to documents.
- Develop Productivity / Quality Metrics.
- Perform transfer operations.
- Raise process related issues/problems with team leaders in a timely manner.
- Ensure compliance with all statistical, financial and TAT criteria.
- Keep up to date with the Knowledge process / changes refer to knowledge updates / repositories to effectively operate the process.
- Follow the security procedures established by the organization.
- Provide updates and submit reports related to your work.
- Full transaction/queue call volume at the indicated time.
- Respond to requests for information.
- Perform administrative duties including recording accurate information related to claims/remedial requests received.
- Production statistics, user related records, etc. record relevant information.
- Maintain confidentiality of all information, policies and procedures as required by Portability and Accountability Act (HIPAA) protocols.
- Raise related issues/problems with team leaders/managers.
- Follow federal, state, URAC, and customer-defined best practices for utilization management.
- Adhere to program quality standards and maintain acceptable levels of attendance, adherence to protocol, customer courtesy, and other performance and effectiveness goals and objectives.
- Continual contribution to process excellence/improvement.
- Participate in project and organizational initiatives led by the delivery manager.
For medical management: - Receive, enter and submit various reports, customer charts, customer interactions and other documents according to your account.
- Prepare and/or mark predetermined numbers/processes with maximum accuracy.
- Check the claim request / remediation for completeness and determine if it is appropriate for further processing.
- Manage, upload and assign claims/care requests to case administrators, nurse practitioners or medical examiners.
- Follow all the pending requirements as appropriate and start the next steps.
For requirements: - Register / modify information to match sales and transition district salary.
- The process requires documentation with significant errors.
- Collect benefits packages, submit benefits documents, and manage benefits documents.
- Read and analyze the Benefit Grid / Source Document, understand the benefits and similar codes in the application.
- Blue exchange, useful stories and related works.
For RCM:
- Follow all the pending requirements as appropriate and start the next steps.
- Complete procedure for submission of claim, rejection, remittance as described in SOP.
- Complete coding procedures with ICD, CPT and other requirements.
- Respond to requests for information.
- Coding and process requirements, costs and zero errors are critical.
For service providers:
- Review and review provider programs for completeness and accuracy.
- Perform data verification through approved sources specified by the client.
- Collect all information from the client’s registered provider, the provider’s malpractice insurer, the National Practitioner Data Bank (NPDB), and other sources.
- Receive and process new and updated ID cards for various ID cards, certificates
About Cognizant
Our productivity-driven consultative approach helps clients envision, build and run a more innovative and effective business.
Beware of fake offers!!
Educators do not accept payment at any stage of the recruitment process and do not authorize payment to any institution or partner or individual at any stage of the recruitment process. With this, we want to prevent and prevent future applicants from falling victim to this scam.
Please note that any payment made to any person or agency to act for Cognizant is at your risk and discretion and Cognizant shall not be liable for the same.
Continued
If permitted by local law, Cognition requires all Cognition associates, subsidiaries and joint ventures, including employees, contractors or non-integrated contractors, if their role requires a business face.
accordance with the applicable law, vaccinations are also required when ordered by the client or the state government, regardless of the place of work. New employees will be asked to certify their vaccination status and upload valid vaccination proof upon joining.
Will consider requests for medical, religious, or other accommodations based on known immunization requirements.
At Cognizant
we give organizations the insight to anticipate what customers want and take immediate action to meet those demands.
Mission: Our desire will always be to identify and exploit new opportunities that serve our customers and ensure sustainable business performance for Cognizant in the long term. See pictures of our annual event.
Insight: Serving customers with anticipation is a big promise, but the power of digital capabilities is huge and growing.
History of Information Technology
In June 1998, IMS Health partially exited Cognizant’s initial public offering. The company raised $34 million, less than the IMS Health authors expected. This money is earmarked for loan repayments and the modernization of the company’s offices.
Mahadeva believes that the $16.6 billion ERP software market is saturated. large ERP implementation project. Kumar Mahadeva stepped down as CEO in 2003 and was succeeded by Lakshmi Narayanan.
HR strategy. Cognizant shells out more to attract and retain talent in 2022
Challenges in attracting and retaining highly qualified employees resulted in higher compensation costs for Cognizant Technology Solutions in 2022. The company saw its cost of revenue (CoR) increase to $12,448 million in 2021 against $11,604 million, an increase of 7.3 percent or $844 million. In other words, CoR as a percentage of revenue increased to 64.1 percent in 2022 against 62.7 percent in 2021.
CoR primarily includes salary, incentive-based compensation, stock-based compensation expense, employee benefits, project-related immigration and travel for technical personnel, subcontracting and revenue-related equipment costs, Cognizant’s 2022 annual report said.
HR strategy.
There was also a negative impact of 30 basis points due to the impairment of certain capitalized costs related to a large volume-based contract with a health sciences client, partially offset by delivery efficiencies and the depreciation of the Indian rupee against the US dollar.
Cognizant had approximately 355,300 employees at the end of 2022, including 258,500 in India, 41,100 in North America, 18,200 in Continental Europe, 9,200 in the UK and 28,300 in various other locations globally. This represents an increase of 24,700 employees compared to December 31, 2021.
It also uses subcontractors to provide additional capacity and flexibility to meet client demands, although the number of subcontractors has historically been immaterial relative to its workforce.
Lower attrition
For the three months ended December 31, 2022 and 2021, Cognizant’s annual attrition rate, including voluntary and involuntary, was 25.3 percent and 34.6 percent, respectively.
“We saw an improvement in our annual attrition rate for the three months ended December 31, 2022, and we expect our annual attrition rate for the first quarter of 2023, Attrition can be difficult to predict as it is influenced by both macroeconomic and internal factors,” the company said.
Business Outlook
In addition, ongoing and anticipated future efforts related to recruiting, talent management and employee engagement may not be successful and may result in increased compensation costs.
Our success depends, in large part, on our ability to maintain our supply of skilled employees, particularly those with experience in key digital areas, aligned with client demand.
Competition for skilled employees in the current labor market is intense, and in 2021 and 2022, we experience significantly elevated voluntary attrition,” the company said.
