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Apprentice Medicare Claims Processing Jobs in Colorado

Capital Rx

Medical Coding Specialist

Denver, CO · On-site

$70K - $85K/yr

Contribute to continuous improvement initiatives that enhance claims processing accuracy and ... Medicare and Medicaid experience preferred. * Demonstrated ability to learn and apply new ...

Capital Rx

Supervisor, Appeals Pharmacist

Denver, CO · On-site

$128K - $160K/yr

... or Medicare appeals. * Strong understanding of pharmacy benefit management processes, including claims processing, formulary management, prior authorization, and appeals. * Excellent analytical ...

New

Capital Rx

Formulary Operations Pharmacist

Denver, CO · On-site

$60 - $72/hr

... Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit ... The Formulary Operations Pharmacist - Medicare is responsible for providing operational support for ...

Judi Health

Supervisor, Appeals Pharmacist

Denver, CO · On-site

$128K - $160K/yr

... or Medicare appeals. * Strong understanding of pharmacy benefit management processes, including claims processing, formulary management, prior authorization, and appeals. * Excellent analytical ...

New

InnovAge

Payment Integrity Analyst

Denver, CO · On-site +1

$77K - $96K/yr

... across claims processing, provider data management, and claims customer services. Essential ... Knowledge of HIPAA, Medicare, Medicaid, or ACA regulations. * SQL or other data query skills a plus.

Vizient

Director, Product Delivery (Claims)

Englewood, CO · On-site

$117K - $206K/yr

Monitor delivery performance metrics and implement process improvements, including automation and ... Experience working with Medicare and/or Commercial claims data required. * Experience leading ...

Axis Health System

Billing Specialist (00001)

Durango, CO · On-site

$21.25 - $27.30/hr

... claims processing, payment posting, account reconciliation, collections, and reimbursement methodologies. * Knowledge of Medicare, Medicaid, commercial insurance plans, and the ability to accurately ...

New

Axis Health System

Billing Specialist (00001)

Durango, CO

$21.25 - $27.30/hr

... claims processing, payment posting, account reconciliation, collections, and reimbursement methodologies. * Knowledge of Medicare, Medicaid, commercial insurance plans, and the ability to accurately ...

New

JBS USA

Benefits Specialist

Greeley, CO · On-site

Ensure claims are processed accurately and efficiently while providing ongoing support to affected ... Medicare Verification LettersCertificates of Creditable CoverageState-specific Insurance LettersOut ...

JBS Imports

Benefits Specialist

Greeley, CO · On-site

Ensure claims are processed accurately and efficiently while providing ongoing support to affected ... Medicare Verification Letters * Certificates of Creditable Coverage * State-specific Insurance ...

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All JobsApprentice Medicare Claims Processing JobsApprentice Medicare Claims Processing Jobs in Colorado

Apprentice Medicare Claims Processing information

What is the difference between Apprentice Medicare Claims Processing vs Medicare Claims Processor?

AspectApprentice Medicare Claims ProcessingMedicare Claims Processor
CredentialsOn-the-job training, possibly some certificationsTypically requires relevant certifications or experience
Work EnvironmentTraining environment, supervised tasksFull-time, operational setting within healthcare or insurance companies
Job ResponsibilitiesAssisting with claims, learning processing proceduresProcessing claims independently, verifying data, resolving issues

In summary, an Apprentice Medicare Claims Processing role is a training position focused on learning the claims process under supervision, while a Medicare Claims Processor is a fully responsible role requiring more experience and certification to handle claims independently.

Is claims processing a stressful job?

Claims processing for Medicare involves reviewing and verifying medical claims, which can be detail-oriented and deadline-driven. While it can be challenging during high-volume periods or complex cases, many find it manageable with proper training and organization, and stress levels vary based on workload and individual skills.

What skills do you need to be an Apprentice Medicare Claims Processing?

An Apprentice Medicare Claims Processing role requires strong attention to detail, good organizational skills, and familiarity with healthcare billing and coding systems. Basic knowledge of medical terminology, data entry proficiency, and the ability to follow complex procedures are also important for success in this position.

What are the most commonly searched types of Medicare Claims Processing jobs in Colorado?

The most popular types of Medicare Claims Processing jobs in Colorado are:

What cities in Colorado are hiring for Apprentice Medicare Claims Processing jobs?

Cities in Colorado with the most Apprentice Medicare Claims Processing job openings:

Apprentice Medicare Claims Processing jobs near you

QA Analyst with Facets Claims experience

Englewood, CO • On-site

Cognizant Technology Solutions

7.0

Company rating: 7.0 out of 10

Based on 87 frontline employees who took The Breakroom Quiz

59th of 72 rated business consultants

Paid breaks

Recommended by parents

Respectful managers

Learn more about Cognizant Technology Solutionsexternal

$53K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Job description

About the role
As a QA Analyst with Facets Claims experience, you will make an impact by ensuring the quality, accuracy, and performance of healthcare payer claims processing applications. You will be a valued member of the Quality Engineering team and work collaboratively with business stakeholders, Facets configuration teams, developers, and testing teams to support large-scale healthcare transformation and Facets migration initiatives.
In this role, you will:
  • Perform end-to-end testing of Facets Claims processing applications to ensure business and system requirements are met.
  • Execute large-scale parallel testing activities, validating claim adjudication results between legacy platforms and Facets.
  • Validate Medicare claims processing workflows, configurations, and business rules within the Facets platform.
  • Conduct backend testing and data validation using SQL, claims data analysis, and database queries.
  • Design, develop, and execute functional, integration, regression, and system test cases and test scenarios.
  • Analyze high-volume claims processing results and identify defects, inconsistencies, and data issues.
  • Support defect triage, root cause analysis, retesting, and validation of production-ready solutions.
  • Collaborate closely with business users, Facets configuration teams, and development teams to ensure successful delivery of testing objectives.

Work model
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
  • Strong hands-on experience in Facets Claims testing.
  • Deep understanding of healthcare payer claims adjudication processes and claims lifecycle management.
  • Experience performing both front-end and backend validation within Facets Claims applications.
  • Strong SQL skills with proven experience performing database and data validation testing.
  • Experience testing Medicare Claims processing workflows and business rules.
  • Ability to work independently in a hands-on testing environment with minimal supervision.
  • Experience supporting large-scale Facets migration or healthcare transformation programs.
  • Strong analytical, troubleshooting, and defect management skills.

These will help you stand out
  • Knowledge of 837 and 835 EDI transactions.
  • Experience supporting Federal healthcare programs, including CMS and Medicare initiatives.
  • Exposure to test automation frameworks and methodologies.
  • Experience with healthcare data migration testing and data reconciliation activities.
  • Familiarity with Agile delivery methodologies and healthcare regulatory requirements.

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.
Salary and Other Compensation:
The annual salary for this position is between $53,477 to 92,500 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 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 company sponsorship.
*Please note, this role is not able to offer visa transfer or sponsorship now or in the future*
About Cognizant:
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.
Additional employment information
Compensation 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.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
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, state or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] for roles based in the Americas or [email protected] for roles based in India.

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