Job Title: Healthcare Process Executive (HC)

Job Summary:
Cognizant is seeking a detail-oriented and dedicated Healthcare Process Executive to join our dynamic team. This role is ideal for fresh graduates or professionals with up to 2 years of experience in healthcare processes. The ideal candidate should possess strong technical skills in MS Excel and have domain experience in Provider and Payer services. As this is a work-from-home position with night shifts, applicants should be comfortable working remotely and adapting to different time zones. Proficiency in English (Read, Write, Speak) is mandatory.

Key Responsibilities as Healthcare Process Executive

1. Data Entry & Analysis:
   • Perform data entry and analysis using MS Excel to support healthcare operations.
   • Ensure high accuracy and completeness in all tasks.
2. Healthcare Operations:
   • Handle provider and payer-related tasks with precision.
   • Process and verify healthcare claims and insurance details.
   • Assist in medical billing, coding, and insurance verification.
3. Quality Assurance & Compliance:
   • Ensure adherence to healthcare regulations and compliance policies.
   • Maintain confidentiality and security of patient and provider information.
4. Collaboration & Communication:
   • Work closely with team members to streamline workflows and improve efficiency.
   • Communicate effectively with internal stakeholders and clients in English.
5. Performance Monitoring & Reporting:
   • Track key performance indicators (KPIs) to ensure targets are met.
   • Generate reports and summaries on healthcare processes.
6. Process Improvement & Training:
   • Identify areas for process improvement and suggest solutions.
   • Participate in training sessions to stay updated on industry best practices.
7. Issue Resolution:
   • Troubleshoot and resolve issues related to healthcare transactions and claims.
   • Escalate unresolved problems to appropriate departments.

Required Qualifications & Skills as Healthcare Process Executive

• Educational Qualification: Any Bachelor’s degree (Healthcare-related degree preferred but not mandatory).
• Experience: 0 to 2 years in a similar role (Freshers can apply).
• Technical Skills:
  • Proficiency in MS Excel (Advanced formulas, Pivot Tables, Data Validation, etc.).
  • Experience with healthcare data processing is a plus.
• Domain Expertise: Knowledge of Provider and Payer services in the healthcare industry.
• Soft Skills:
  • Strong attention to detail and accuracy.
  • Ability to work independently and collaboratively in a remote environment.
  • Excellent communication and interpersonal skills.
  • Problem-solving and analytical thinking abilities.
• Language Proficiency: Fluency in English (Read, Write, Speak).
• Certifications: A certification in MS Excel or Healthcare Data Processing is preferred.

Why Join Cognizant?

• Global Presence: Work with one of the world’s leading professional services companies.
• Career Growth: Access to learning and development programs to enhance your career.
• Work-from-Home Flexibility: Maintain a better work-life balance with a remote work setup.
• Inclusive Workplace: Be part of a diverse and supportive community.
• Innovation & Excellence: Work in an environment that fosters continuous learning and process improvements.

10 Interview Questions & Sample Answers for Healthcare Process Executive

1. Can you describe your experience with MS Excel?

Sample Answer: I have strong proficiency in MS Excel and use it for data analysis, reports, and data validation. I am comfortable using Pivot Tables, VLOOKUP, conditional formatting, and macros to organize and process large datasets. In my previous role, I automated a reporting process using Excel formulas, reducing manual effort by 30%.

2. What do you understand about Providers and Payer in healthcare?

Sample Answer: A Provider refers to healthcare professionals or institutions that deliver medical services, such as doctors, hospitals, and clinics. A Payer is an entity responsible for financing or reimbursing healthcare costs, such as insurance companies and government programs (Medicare, Medicaid).

3. How do you ensure accuracy in data entry and processing?

Sample Answer: I follow a double-checking method where I verify data before submission. I also use Excel validation techniques like conditional formatting and automated checks to minimize errors.

4. How do you handle a situation where you receive incomplete or incorrect healthcare data?

Sample Answer: I cross-check the available data and refer to standard guidelines. If needed, I escalate the issue to the respective department for verification, ensuring that all information is accurate before processing.

5. How would you handle a night shift while working from home?

Sample Answer: I maintain a structured routine with scheduled breaks to stay focused. I also ensure a quiet and comfortable workspace to avoid distractions.

6. What strategies do you use to manage workload and meet deadlines?

Sample Answer: I prioritize tasks using a structured to-do list and use time management tools like Trello or Excel planners. Additionally, I break tasks into smaller milestones to ensure timely completion.

7. What steps do you take to ensure data security and confidentiality?

Sample Answer: I follow company policies and HIPAA guidelines to maintain patient data privacy. I also use secure file transfer methods and ensure that sensitive information is not shared outside authorized channels.

8. Can you describe a time when you suggested a process improvement?

Sample Answer: In my previous role, I noticed that manual data validation caused delays. I suggested an Excel macro-based validation system, which reduced errors and saved processing time by 20%.

9. How would you resolve a dispute between a healthcare provider and a payer?

Sample Answer: I would first gather all necessary documentation related to the dispute. Then, I would analyze the billing codes, insurance terms, and provider contracts before communicating with both parties to facilitate a resolution. If needed, I would escalate the issue following the appropriate protocol.

10. Why do you want to work at Cognizant?

Sample Answer: Cognizant is a globally recognized company that values innovation and employee growth. I admire its commitment to technology-driven solutions in healthcare and its inclusive work culture. I believe this role aligns with my skills and career aspirations.