Senior Manager, Complex Claims & Revenue Cycle

REQUIRED Qualifications

• A Plaintiff's attorney, personal Injury attorney, car accident attorney
• If not an attorney, then an insurance adjuster who has litigation/worked with litigations
• Minimum of 7 years of hands-on experience in healthcare revenue cycle management, with preferred specialization in Third-Party Liability and/or Denials.
• At least 5 years of management experience within the healthcare revenue cycle management field.

Cognizant is seeking a dynamic Senior Manager to support the leadership of our Complex Claims division. This role is responsible for overseeing daily operations, collections, and maintaining strong client relationships. The successful candidate will bring significant expertise in revenue cycle management, with a focus on Third-Party Liability claims and Denials management. Key Responsibilities

• Lead and manage the Complex Claims team, ensuring productivity and driving departmental performance.
• Demonstrate comprehensive knowledge of the hospital revenue cycle, with an emphasis on Denials and Third-Party Liability claims.
• Establish and nurture productive relationships with clients, vendors, and key stakeholders through clear and effective communication.
• Consistently meet and exceed client expectations, including adherence to service level agreements.
• Oversee and forecast revenue targets and cost margins to support business objectives.
• Review and enhance internal policies, procedures, and systems to improve efficiency and performance without compromising quality.
• Research state statutes and medical lien laws relevant to Third-Party Liability recovery and provide guidance for claim resolution.
• Work both independently and collaboratively across multiple departments to achieve division goals.
• Apply strong analytical and problem-solving abilities to address operational challenges.
• Foster a positive, supportive, and team-oriented work environment.

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