Top 15 Medical claims processor Jobs in Scottsdale, Az

Claims Processor
Cognizant —Phoenix, AZ
- $16 - $19 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Employee stock purchase plan
2d
Initial Clinical Reviewer - Remote - AZ
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- LMFT
- Nursing
- RN License
Customer Experience Agent, High Value Items
Whatnot —Phoenix, AZ
- $24.04 - $28.85 an hour
- Full-time
- Mid-level
- 2 years
- Paid parental leave
- Health insurance
Mailroom Document Processor/Scanner Operator - Part Time
Smart Data Solutions LLC —Tempe, AZ
- $15.15 - $17.00 an hour
- Part-time
- Computer literacy
- Office
- Organizational skills
- Paid holidays
- Disability insurance
Quick Apply
Supervisor, Utilization Review (TOC) - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Microsoft Word
- Nursing
- RN License
Medical Appeals and Grievance (MAG) Registered Nurse Specialist II - Remote
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Mid-level
- 1 year
- Leadership
Business Intelligence Developer-Medicaid - Level I (Remote AZ)
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Computer science
- Bachelor of Science
- Mid-level
Clinical Trainer & Auditor - Remote AZ
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Remote
- LMFT
- Nursing
- RN License
4d
Software Developer - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- System design
- Mid-level
- Office
- Paid holidays
- Health insurance
Programmer II - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Health insurance
Medical Director - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Medicine
- Doctoral degree
- Word processing
Medical Director (Medicaid Segment) - Remote-AZ
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- 1 year
- Senior level
- Leadership
High-Cost Claimant Review Unit Nurse Auditor (Remote in AZ)
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- 5 years
- Analysis skills
- Travel

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Claims Processor

Cognizant -
Phoenix, AZ

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Job Details

Full-time
$16 - $19 an hour
2 days 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

Microsoft Excel
Microsoft Outlook
High school diploma or GED
ICD-9
ICD-10
HCPCS
Health insurance knowledge
Medical terminology

Full Job Description

About the role:
Location: Remote – US
Schedule: M-F Eastern Hours Training: M-F 8am to 4:30pm ET.
As a Claims Processor, you will make an impact by reviewing and adjudicating healthcare claims to ensure accurate payment or denial in accordance with established claim processing guidelines, regulatory requirements, and client business rules. You will be a valued member of the operations team, working collaboratively with internal stakeholders to maintain accuracy, productivity, and compliance standards.

In this role, you will:

Review and process healthcare claims for appropriateness of care and completeness of information in accordance with coverage guidelines and applicable state and federal regulations.
Process claims across multiple benefit plans utilizing automated systems and manual review processes to determine accurate payment outcomes.
Approve, pending, or deny claims based on accepted coverage guidelines and business requirements. ·
Adhere to all team procedures, including HIPAA policies and procedures, while consistently meeting quality, turnaround time, and productivity goals.
Identify and refer claims with potential third-party liability concerns, including subrogation, coordination of benefits (COB), motor vehicle accident (MVA), stop-loss claims, and related cases. ·
Collaborate with internal teams to research claim issues, ensure accurate claim information, obtain additional documentation when needed, and provide claim status updates.
Maintain accurate records and documentation within claims systems. · Perform other duties and responsibilities as assigned.
Be willing to work overtime as business needs require.

We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs. The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.
What you need to have to be considered
High School Diploma or GED required.
Minimum 2-3 years of Medicaid and/or Commercial healthcare payer claims processing experience.
Healthcare claims payer processing experience required.
Medicaid claims processing knowledge required.
Ability to work independently with strong attention to detail.
Strong interpersonal, organizational, time management, and communication skills.
Good analytical and problem-solving abilities.
Ability to work in a fast-paced, high-performance environment with changing priorities.
Experience navigating multiple systems using dual monitors.
Knowledge of medical terminology, CPT-4, ICD-9, ICD-10, HCPCS, ASA, UB92 codes, and standard billing guidelines.
Proficiency in Microsoft Office, including Excel, Word, and Outlook.

These will help you stand out:

Experience with FACETS claims processing system strongly preferred. ·
Prior experience processing claims for multiple healthcare plans. ·
Strong knowledge of healthcare regulations and payer guidelines.
Demonstrated ability to maintain quality and productivity targets while managing high volumes of work.

We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.

Working Environment Requirements :

Ability to work remotely in a secure environment.
High-speed internet connection required with the ability to connect a company-issued laptop through a wired connection or Wi-fi.
Dedicated workspace is free from distractions and supports the privacy and security of healthcare information.

Salary and Other Compensation
Applications will be accepted until August 10 th , 2026.
The salary range for this position is $16.00 - $19.00 an hour depending on experience and other qualifications of the successful candidate.
This position may also be eligible for Cognizant's discretionary annual incentive program and other compensation opportunities, based on performance and subject to the terms of Cognizant's applicable plans.

Benefits :

Medical/Dental/Vision/Life Insurance
Paid Holidays plus Paid Time Off
401(k) Plan and Company Contributions
Long-term/Short-term Disability
Paid Parental Leave · Employee Stock Purchase Plan

Disclaimer: The salary, 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

medical claims processor jobs in scottsdale, az

Claims Processor

Initial Clinical Reviewer - Remote - AZ

Customer Experience Agent, High Value Items

Mailroom Document Processor/Scanner Operator - Part Time

Supervisor, Utilization Review (TOC) - Hybrid

Medical Appeals and Grievance (MAG) Registered Nurse Specialist II - Remote

Business Intelligence Developer-Medicaid - Level I (Remote AZ)

Clinical Trainer & Auditor - Remote AZ

Software Developer - Hybrid

Programmer II - Hybrid

Medical Director - Hybrid

Medical Director (Medicaid Segment) - Remote-AZ

High-Cost Claimant Review Unit Nurse Auditor (Remote in AZ)

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