Job Description: Process Executive – HC (Work From Home, Night Shift)
Job Summary
We are looking for a highly motivated Process Executive – HC to join our dynamic team. This role is ideal for individuals with 0 to 2 years of experience in the healthcare domain, specifically in Provider and Payer processes. The position is fully remote and requires candidates to work night shifts.
The ideal candidate must have strong technical skills in MS Excel, excellent attention to detail, and proficiency in English (reading, writing, and speaking). The role involves handling data entry, analysis, and administrative support for healthcare operations while ensuring accuracy, compliance, and confidentiality.
Key Responsibilities: Process Executive – HC
- Perform data entry and analysis using MS Excel to support healthcare processes.
- Ensure accuracy, completeness, and consistency in handling provider and payer-related tasks.
- Process and validate healthcare claims, authorizations, and provider/payer data.
- Maintain compliance with HIPAA and other regulatory guidelines.
- Collaborate with cross-functional teams to streamline workflow and improve process efficiency.
- Manage and resolve provider and payer inquiries with professionalism and attention to detail.
- Identify process gaps and propose enhancements for efficiency improvements.
- Provide timely status reports and updates to supervisors.
- Ensure confidentiality and security of sensitive patient and provider data.
- Participate in training programs to stay updated with industry best practices and regulations.
- Adhere to company policies and quality standards to ensure operational excellence.
- Escalate complex issues to the appropriate stakeholders when necessary.
- Support additional healthcare operations and projects as required.
Qualifications & Skills: Process Executive – HC
Mandatory Requirements: Process Executive – HC
- 0-2 years of experience in a similar role, preferably in healthcare operations.
- Proficiency in MS Excel (e.g., Pivot Tables, VLOOKUP, Data Validation, Conditional Formatting).
- Domain experience in Provider and Payer processes.
- Strong communication skills (English – Reading, Writing, Speaking).
- Attention to detail with a high degree of accuracy.
- Ability to work in night shifts (as required for remote healthcare operations).
- Problem-solving mindset with a proactive approach to issue resolution.
- Ability to work independently and as part of a collaborative team.
- Strong organizational and time-management skills.
Preferred Requirements: Process Executive – HC
- Certification in MS Excel or a related field is a plus.
- Experience with healthcare claims processing, data validation, or customer service.
- Familiarity with healthcare compliance standards (HIPAA, PHI, etc.).
- Prior experience in remote work environments.
About Cognizant
Cognizant is a globally recognized leader in IT services, digital transformation, and business process outsourcing. With a strong emphasis on innovation, technology, and talent, Cognizant is committed to delivering top-tier solutions that drive business growth.
We are a high-caliber team that values collaboration, inclusivity, and continuous learning. With over 300,000 associates worldwide, we foster an environment where professionals can thrive and build a meaningful career.
Our Commitment to Diversity & Inclusion
At Cognizant, we embrace diversity, equity, and inclusion. We believe in creating a workplace where everyone feels valued, heard, and empowered to achieve their full potential. Our hiring decisions are based on skills, experience, and qualifications, without discrimination based on race, gender, religion, disability, or other protected characteristics.
Interview Questions and Sample Answers: Process Executive – HC
1. Can you explain your experience with MS Excel?
Sample Answer: I have experience using MS Excel for data entry, data analysis, and reporting. I am proficient in using Pivot Tables, VLOOKUP, and Conditional Formatting to organize and interpret large datasets efficiently. In my previous role, I used Excel to track healthcare claims, ensuring accuracy and completeness.
2. What do you understand about Provider and Payer processes?
Sample Answer: In healthcare, providers refer to hospitals, doctors, and clinics that offer medical services, while payers include insurance companies that cover the cost of treatments. My understanding includes claims processing, reimbursement handling, and prior authorization verification to ensure smooth transactions between providers and payers.
3. How do you ensure accuracy in data entry?
Sample Answer: I use a three-step approach: double-checking inputs, using Excel validation functions, and cross-verifying data with source documents. Additionally, I maintain a structured workflow to minimize errors and follow company quality control measures.
4. How would you handle confidential patient data?
Sample Answer: I strictly adhere to HIPAA compliance guidelines, ensuring that patient information remains secure and confidential. I avoid sharing sensitive data, use secure software platforms, and follow company protocols for handling patient records.
5. How do you prioritize tasks in a fast-paced work environment?
Sample Answer: I prioritize tasks based on urgency, deadlines, and impact. I use Excel trackers, to-do lists, and workflow management tools to ensure efficiency. Additionally, I proactively communicate with my team to align on priorities.
6. Can you describe a situation where you improved a process?
Sample Answer: In my previous role, I noticed a delay in claims processing due to manual errors. I introduced an automated validation template in MS Excel, reducing errors by 30% and improving processing speed.
7. What steps do you take to resolve a provider-payer dispute?
Sample Answer: First, I gather all relevant data regarding the dispute. Then, I cross-check the claim details, verify billing codes, and communicate with the concerned parties to find a resolution. If needed, I escalate the issue to senior management.
8. How do you handle night shifts and remote work challenges?
Sample Answer: I maintain a structured work routine, ensuring proper rest and time management. I use productivity tools to stay organized and maintain effective communication with my team.
9. Why do you want to work for Cognizant?
Sample Answer: Cognizant is a leading organization known for its innovation and career growth opportunities. I admire its commitment to employee well-being and professional development, and I believe my skills in healthcare processes and MS Excel align well with this role.
10. How do you handle stress and workload pressure?
Sample Answer: I handle stress by breaking tasks into manageable steps, prioritizing work effectively, and staying calm under pressure. I also seek support from my team when needed and use time management strategies to maintain efficiency.
Application Process
Candidates may be required to attend interviews virtually or in person. Please ensure you have a government-issued ID for verification during the interview process.
Cognizant reserves the right to modify job details and compensation as per business needs.