Claims Processing (Remote)
This remote position is open to any qualified candidate living in the United States.
Job Summary
Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts allowing you to balance work and personal commitments effectively. Your contributions will directly impact the accuracy and efficiency of our claims processing enhancing customer satisfaction and operational excellence.
Key Responsibilities-
- Claims Processing: Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies.
- Eligibility Verification: Confirm patient coverage, benefits, and pre-authorization requirements under Medicare, Medicaid, and private insurance plans.
- Adjudication: Approve, deny, or adjust claims based on payer guidelines and policy terms.
- Compliance: Maintain adherence to HIPAA regulations, CMS guidelines, and other US healthcare compliance standards.
- Documentation: Record claim activity, maintain audit trails, and prepare reports for management.
Required Skills & Qualifications-
- High school diploma or equivalent REQUIRED
- Strong knowledge of US healthcare insurance systems (Medicare, Medicaid, commercial payers).
- 2–4 years of experience in US healthcare claims processing
- Familiarity with claims management software and EDI transactions.
- Excellent analytical, organizational, and communication skills.
- Ability to interpret insurance policies and payer guidelines.
- Detail-oriented with strong problem-solving abilities.
Competencies-
- Regulatory Knowledge – Deep understanding of US healthcare laws and payer requirements.
- Accuracy & Detail Orientation – Ensures claims are processed correctly and efficiently.
Problem-Solving – Resolves claim disputes and denials effectively.
Salary and Other Compensation:
Applications will be accepted until June 5, 2026.
The hourly rate for this position is between $16.00 – 17.00 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.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 will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.
Über Cognizant
Cognizant (NASDAQ: CTSH) i ist ein Technologiedienstleister und Entwickler von KI-Lösungen. Wir schlagen die Brücke zwischen KI-Investitionen und echtem unternehmerischem Mehrwert, indem wir ganzheitliche Full-Stack-KI-Lösungen für unsere Kunden entwickeln. Mit unserer fundierten Branchen-, Prozess- und Engineering-Expertise integrieren wir die spezifischen Anforderungen von Unternehmen passgenau in Technologiesysteme. So entfalten wir das menschliche Potenzial, erzielen greifbare Ergebnisse und sichern globalen Unternehmen in einer sich rasant wandelnden Welt den entscheidenden Vorsprung. Erfahren Sie mehr unter cognizant.ai oder @cognizant.
Zusätzliche Informationen zur Beschäftigung
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