Cognizant is Hiring off-campus placement

Develop a complete understanding of the Procedures.
Complete transactions for data preparation, submissions, etc as defined in SOP’s.
100% Process adherence to transaction processing timelines.
Adhere to audit compliance ( SAS 70, SOX, Statutory Audit) of all processes as laid out in process documentation.
Ensure process guidelines are followed and met as documented.
Set productivity /Quality benchmark.
Adhere to shift handover processes.
Raise process related issues / concerns on time with process and team leads.
Ensure to meet all Statistical, Financial and TAT metrics.
Stay updated with the process knowledge / changes refer to knowledge updates/ repositories to effectively process transactions.

Process claims documents with zero critical errors.
Manage benefits documentation by assembling benefit packets, filing benefits paperwork.
Read and analyze the Benefit Grid/Source document, understand the benefits and code the same in the application.
Works on Blue Exchange, Benefit Narratives and related line of businesses.

Provide updates and submit reports related to own area of work.
Complete transaction / calls volumes in queue within specified Turn Around Time.
Respond to data requests.
Perform administrative duties which includes maintaining accurate records of information regarding received claims/treatment requests.
Record data relating to production statistics, enduser related notes, etc as appropriate.
Maintain confidentiality of all information, policies, and procedures as required by the Health Insurance Portability and Accountability Act (HIPAA) protocols.
Raise process related issues/concerns to team leads/manager.
Adhere to federal, state, URAC, clientspecified, and established best practices regarding utilization management.