PE-Claims HC jobs in United States
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Cognizant · 9 hours ago

PE-Claims HC

positionDes Moines, IA
timeFull-time
remoteHybrid
seniorityEntry, Mid Level
money$16/hr - $17/hr
date2+ years exp

Cognizant is seeking 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 role involves reviewing and processing healthcare claims while ensuring compliance with US insurance policies and regulations.

ConsultingIndustrial AutomationInformation TechnologySoftwareSoftware Engineering
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H1B Sponsor Likelynote

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

Qualification

US healthcare insurance systemsClaims processing experienceClaims management softwareHIPAA complianceAnalytical skillsRegulatory knowledgeOrganizational skillsCommunication skillsProblem-solving abilitiesDetail-oriented

Required

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

Benefits

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

Company

Cognizant

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Cognizant is a professional services company that helps clients alter their business, operating, and technology models for the digital era.
dateFounded in 1994
location
Teaneck, New Jersey, USA
people-size10001+ employees
web-link
https://www.cognizant.com

H1B Sponsorship

Cognizant has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11113)
2024 (11423)
2023 (13054)
2022 (13876)
2021 (12651)
2020 (28659)

Funding

Current Stage
Public Company
Total Funding
$0.24M
Key Investors
Summit Financial Wealth Advisors
2025-03-08Post Ipo Equity
2016-11-18Post Ipo Equity· $0.24M
1998-06-19IPO

Leadership Team

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Ravi Kumar S
Chief Executive Officer
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Anil Cheriyan
CTO / EVP Strategy & Technology
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