Cognizant
Medical Claims Processor (remote) - (Job Number: 00057076661)
This job is now closed
Job Description
- Req#: 2180351
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive hourly rate up to $18 per hour
- Eligible for Cognizant's discretionary annual incentive program
- Comprehensive benefits package including medical, dental, vision, life insurance, and 401(k) plan
- Paid holidays and Paid Time Off
- Opportunity to work remotely from anywhere in the United States
- Collaborative work environment with opportunities for career growth
What to Expect (Job Responsibilities):
- Review and compare data in the claim processing system with corresponding paper or electronic information
- Determine if services rendered were medically appropriate by reviewing medical records when necessary
- Review claim and line item edits and warning messages to make payment determinations
- Ensure all tasks are completed within designated timeframes to meet service level agreements
- Assist with special projects and other duties as assigned by management
- Ability to work at a computer for extended periods of time
What is Required (Qualifications):
- Minimum of 1 year of claims processing experience
- High School degree or equivalent
- Knowledge of physician practice and hospital coding, billing, and medical terminology
- Experience with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims
- Familiarity with Medicare billing, payment, and coverage guidelines
- Experience in claims analysis and utilization review/quality assurance procedures
- Ability to work independently with minimal supervision
- Strong problem-solving skills specific to healthcare claim adjudication
- Ability to collaborate effectively with other departments
How to Stand Out (Preferred Qualifications):
- 0-2 years of experience in healthcare-related service roles such as Rx Technician or Customer Service Representative
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Cognizant is a multinational technology company that provides business consulting, information technology and outsourcing services.
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