Cognizant Hiring! Full Time QA - Provider relation - Cantonese in Federal Territory - Ricebowl

Job Location : Malaysia

Summary

Provide administrative support including but not limited to report generation / system updates & maintenance / claim status checking / maintenance of network summaries / voucher request handling/ follow-up with network providers via email / communication with Claims for processing

Roles & Responsibilities

• Generate different reports and network summaries on regular and ad hoc basis.
• Handle movement notices and update internal systems.
• Create and maintain provider records, provider related codes and contract details in internal systems.
• Support onboarding of new providers.
• Send notification email to internal parties on ""Large Hospital Claim"" cases.
• Handle contract renewals and maintain system reference data.
• Check claims status upon receiving enquiries from network providers.
• Ensure all data entries and system updates are accurate and completed on time.
• Make calls to network providers upon ad hoc request.
  
  

PCMS

• Assist with uploading EDI files and updating monthly invoice trackers.
• Prepare monthly savings reports and support data matching for non-standard items.
• Create and maintain service codes, provider records, and contract details in internal systems.
• Support onboarding of new providers and setup of CPPL (Contracted Provider Price List).
• Handle contract renewals and maintain system reference data.
• Communicate with the Claims team to activate processing.
• Process adjustment orders and respond to internal queries from the Claims team.
• Ensure all data entries and system updates are accurate and completed on time.
  
  

Experience

• With 1 year of experience in provider relations or health insurance
• Good communication and negotiation skills
• Good analytical and problem solving skills
• Detail-minded
• Willing to accept new challenges
• Presentable and mature presentation
  
  

Language : Must be Proficient in Cantonese (Written & Verbal)

About Cognizant

Cognizant (Nasdaq: CTSH) engineers modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at ************* or @cognizant.