Top 23 claims processor remote Jobs in phoenix, az

Claims Processor (remote)
Cognizant —Phoenix, AZ
- $16 - $17 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Paid parental leave
- Employee stock purchase plan
1d
Prior Authorization Nurse - Remote - AZ
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Customer Experience Agent, High Value Items
Whatnot —Phoenix, AZ
- $24.04 - $28.85 an hour
- Weekends as needed
- Mid-level
- 2 years
- Paid parental leave
- Health insurance
Mail Room Associate- Onsite
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Clean driving record
- Word processing
- Basic math
Broker Data Delivery Analyst- Remote
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Remote
- Salesforce
- HIPAA
- Mid-level
Medical Appeals and Grievance (MAG) Specialist II - Remote
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Nursing
- RN License
- Computer literacy
Programmer II - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Weekends as needed
- Word processing
- Data analysis skills
- HIPAA
Health Manager - Remote in Arizona
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Remote
- Nursing
- RN License
- Word processing
Provider Contract Specialist III - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Clean driving record
- Word processing
- Computer literacy
ICS Analyst I- Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Microsoft Outlook
- Computer Science
- Public speaking
5d
Registered Nurse - Medical Policy Development/Research Specialist - Remote - AZ
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Remote
- Nursing
- RN License
- Word processing
Mgr - Integrated Care (Hybrid)
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- LMFT
- Master of Social Work
- Nursing
Clinical Quality Coordinator QOC RN - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Nursing
- RN License
- Word processing
RN Med Policy Development/Research Specialist - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Nursing
- RN License
- Word processing
Affordability Program Manager - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Customer service
- 5 years
- Research
Mgr - IT Business Medicaid Claims Services - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Computer Science
- Data analysis skills
- Public speaking
Director, NCQA Accreditation (Hybrid)
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- RN License
- Word processing
- Office
Medical Director - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Medicine
- Doctoral degree
- Word processing
Medical Drug Policy and Programs Clinical Pharmacist - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Senior level
- Leadership
- 2 years
Senior Category Manager - Professional Services (Hybrid)
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- 5 years
- Writing skills
- Finance
7d

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claims processor remote jobs near phoenix, az

Claims Processor (remote)

Cognizant -
Phoenix, AZ

Apply Now

Job Details

Full-time
$16 - $17 an hour
1 day ago

Benefits

Paid parental leave
Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Vision insurance
Life insurance

Qualifications

Customer communication
EDI
Medicare
Medical claims processing software
High school diploma or GED
Medicaid health insurance
Medicaid

Full Job Description

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.

Apply Now

Refine Your Search

claims processor remote jobs in phoenix, az

Claims Processor (remote)

Prior Authorization Nurse - Remote - AZ

Customer Experience Agent, High Value Items

Mail Room Associate- Onsite

Broker Data Delivery Analyst- Remote

Medical Appeals and Grievance (MAG) Specialist II - Remote

Programmer II - Hybrid

Health Manager - Remote in Arizona

Provider Contract Specialist III - Hybrid

ICS Analyst I- Hybrid

Registered Nurse - Medical Policy Development/Research Specialist - Remote - AZ

Mgr - Integrated Care (Hybrid)

Clinical Quality Coordinator QOC RN - Hybrid

RN Med Policy Development/Research Specialist - Hybrid

Affordability Program Manager - Hybrid

Mgr - IT Business Medicaid Claims Services - Hybrid

Director, NCQA Accreditation (Hybrid)

Medical Director - Hybrid

Medical Drug Policy and Programs Clinical Pharmacist - Hybrid

Senior Category Manager - Professional Services (Hybrid)

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