Cognizant
Claims Processor
Cognizant is one of the world's leading professional services companies, helping our clients modernize technology, reinvent processes, and transform experiences, so they can stay ahead in our constantly evolving world. We are looking to expand our team. Do you thrive in a busy environment and able to multi-task successfully? If so, please apply today! The Claims Processor will ensure accurate and timely adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client 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. You will be a valued member of the Cognizant team and collaborate with stakeholders and other teams. Primary Responsibilities: Review claim system data and verify against UB or HCFA paper or EDI information. Evaluate medical records to determine if the service rendered was medically appropriate and criteria compliance. Analyze claim and line-item edits, including warning messages, to determine payment eligibility. Manage all tasks within designated timeline to meet internal and external SLAs. Other duties as assigned by management. Qualifications: A minimum of 1 year's claims processing experience is required. Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCA, ICD-9 Experience with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. Knowledge of Medicare billing & payment and coverage guidelines and regulations. Must be able to work with minimal supervision. Excellent problem-solving skill in healthcare claims adjudication. Ability to work at a computer for extended periods. High School degree or GED or equivalent experience. 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. Salary and Other Compensation: Applications will be accepted until August 8, 2025 The hourly rate for this position is between $15.25 - $17.75 an 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. What We Offer: The chance to work with impact.
Here, you're empowered to bring your biggest thinking to help our company and clients improve everyday life. Ownership over your career.
Stay at the top of your game through our award-winning learning and development ecosystem. And when your ambitions change or we offer new opportunities, we help you pivot by providing reskilling, on-the-job learning and guidance to find new roles that might be a better fit. The opportunity to thrive on a high caliber team with heart.
We celebrate each other's experiences and perspectives and promote a sense of belonging through our affinity groups and diversity and inclusion initiatives. A comprehensive total rewards package,
including a competitive salary and pension plan with matching contributions. Flexible health and financial benefits to support you and your eligible dependents
from day one. True work-life balance.
Be at your best through paid time off, flexible work arrangements, volunteering opportunities, social events, and so much more. Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant (a member of the NASDAQ-100 and one of Forbes World's Best Employers 2024) is consistently listed among the most admired companies in the world. Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, provincial or local laws. If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email CareersNA2@cognizant.com with your request and contact information. While our system allows applications in all languages, job required language(s) and proficiency level(s) vary. However, basic English proficiency is required for Company-wide communications purposes. Further, for roles located in Quebec, professional English proficiency is required to communicate with our global clients.
Cognizant is one of the world's leading professional services companies, helping our clients modernize technology, reinvent processes, and transform experiences, so they can stay ahead in our constantly evolving world. We are looking to expand our team. Do you thrive in a busy environment and able to multi-task successfully? If so, please apply today! The Claims Processor will ensure accurate and timely adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client 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. You will be a valued member of the Cognizant team and collaborate with stakeholders and other teams. Primary Responsibilities: Review claim system data and verify against UB or HCFA paper or EDI information. Evaluate medical records to determine if the service rendered was medically appropriate and criteria compliance. Analyze claim and line-item edits, including warning messages, to determine payment eligibility. Manage all tasks within designated timeline to meet internal and external SLAs. Other duties as assigned by management. Qualifications: A minimum of 1 year's claims processing experience is required. Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCA, ICD-9 Experience with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. Knowledge of Medicare billing & payment and coverage guidelines and regulations. Must be able to work with minimal supervision. Excellent problem-solving skill in healthcare claims adjudication. Ability to work at a computer for extended periods. High School degree or GED or equivalent experience. 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. Salary and Other Compensation: Applications will be accepted until August 8, 2025 The hourly rate for this position is between $15.25 - $17.75 an 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. What We Offer: The chance to work with impact.
Here, you're empowered to bring your biggest thinking to help our company and clients improve everyday life. Ownership over your career.
Stay at the top of your game through our award-winning learning and development ecosystem. And when your ambitions change or we offer new opportunities, we help you pivot by providing reskilling, on-the-job learning and guidance to find new roles that might be a better fit. The opportunity to thrive on a high caliber team with heart.
We celebrate each other's experiences and perspectives and promote a sense of belonging through our affinity groups and diversity and inclusion initiatives. A comprehensive total rewards package,
including a competitive salary and pension plan with matching contributions. Flexible health and financial benefits to support you and your eligible dependents
from day one. True work-life balance.
Be at your best through paid time off, flexible work arrangements, volunteering opportunities, social events, and so much more. Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant (a member of the NASDAQ-100 and one of Forbes World's Best Employers 2024) is consistently listed among the most admired companies in the world. Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, provincial or local laws. If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email CareersNA2@cognizant.com with your request and contact information. While our system allows applications in all languages, job required language(s) and proficiency level(s) vary. However, basic English proficiency is required for Company-wide communications purposes. Further, for roles located in Quebec, professional English proficiency is required to communicate with our global clients.