About Cognizant:
Cognizant is one of the world’s leading professional services companies, we help our clients modernize technology, reinvent processes, and transform experiences, so they can stay ahead in our constantly evolving world. Cognizant is looking to expand the AR- Immersive Specialist team and your skills are needed! Are you interested? If so, please apply in order to be considered. We look forward to reviewing your application!
Job Description:
The Claim Processing position is responsible for timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for issues related to claims adjudication and adjustments, Service Now and Inquiry resolution, and any basic questions regarding health coverage as stated in the employer's Plan Document.
Primary Responsibilities:
- Responsible for reviewing the data in the claim processing system, and comparing with corresponding UB or HCFA paper or EDI information.
- Responsible for reviewing medical records when necessary to determine if service rendered was medically appropriate and criteria has been met.
- Responsible for reviewing claim and line item edits and warning messages for determination of whether to pay claim/line item(s).
- Ensuring all designated tasks are handled within the appropriate timeframe in order to meet internal and external SLAs
- Assigning special projects or other duties as determined by management.
- Possess ability to work at a computer for extended periods.
Skills/Qualifications:
- A minimum of 1 years claims processing is required
- Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9
- Experience with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims
- Knowledge of Medicare billing & payment and coverage guidelines and regulations
- Experience in the analysis and processing of claims, utilization review/quality assurance procedures
- Must be able to work with minimal supervision.
- Creative thinker with good skills a problem resolution specifically related to healthcare claim adjudication
- Will work closely with other departments
- Requires High School degree or GED or equivalent experience.
Hourly Rate and Other Compensation:
The hourly rate for this position is between $13.00 - $18.00 per hour, depending on experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
Applications will be accepted through April 8th
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
- Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan and contributions
- Long-term/Short-term Disability
- Paid Parental Leave
- Employee Stock Purchase Plan
Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
If you have a disability that requires a reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information. Applications are accepted on an ongoing basis.
コグニザントのコミュニティ
コグニザントは、クライアントのビジネス、運営、技術モデルをデジタル時代に合わせて変革する、世界有数のプロフェッショナルサービス企業の一つです。私たちの独自の業界ベースのコンサルティングアプローチは、クライアントがより革新的で効率的なビジネスを構想し、構築し、運営するのを支援します。米国に本社を置くコグニザント（NASDAQ-100のメンバーであり、Forbesの2024年世界最高の雇用者の一つ）は、常に世界で最も称賛される企業の一つに挙げられています。コグニザントがどのようにしてクライアントがデジタルでリードするのを支援しているかについては、www.cognizant.comをご覧ください。
- コグニザントは世界中に300,000+上の社員を擁するグローバルな会社会社です。
- 私たちはより良い方法を考えるだけでなく、それを実現していきます。
- 私たちは正しいことを行うことで、社員、顧客、会社、地域社会に貢献します。
- キャリアを築いていくことができる革新的な環境を育んでいきます。
コグニザントについて
コグニザント（Nasdaq-100: CTSH）は世界有数のプロフェッショナル・サービス企業であり、企業がテクノロジーの近代化、プロセスの再構築、エクスペリエンスの変革を実現し、変化の激しい世界で優位に立てるよう支援しています。
コグニザントは機会均等雇用を実践しています。応募および候補者としての選考は、人種、肌の色、性別、宗教、信条、性的指向、性自認、国籍、障がい、遺伝情報、妊娠、退役軍人としての地位、または連邦法、州法、もしくは地方自治体の法律で保護されているその他の特性に基づいて行われることはありません。
求人情報の検索や応募書類の提出に配慮を必要とする障害をお持ちの方は、[email protected] までご要望と連絡先をお知らせください。
免責事項
報酬情報は、この掲載日現在のものです。コグニザントは、適用される法律に従い、いつでもこの情報を修正する権利を有します。
応募者は面接に直接またはビデオ会議で出席する必要がある場合があります。また、各面接時に身分証明書の提示を求められる場合があります。