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Remote Cognizant Claims Processing Jobs (NOW HIRING)

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · On-site +1

Remote Reports to: Claims Supervisor Position Summary: The Claims Quality Auditor plays a key role ... Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ...

IQVIA

Medical Biller/Claims Processing

Kansas City, KS · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Las Vegas, NV · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Cynet Systems

Claims Processor - Remote / Telecommute

$17.34 - $21.34/hr

Examine and resolve non-adjudicated claims by identifying processing requirements based on contracts, medical policies, and procedures. * Process product- or system-specific claims to ensure timely ...

IQVIA

Medical Biller/Claims Processing

Newark, NJ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Cognizant

Test Engineer (Healthcare/Facets)

... end claims processing, including pricing, edits, accumulators, adjudication rules, and benefit ... Cognizant is a professional services company that helps clients alter their business, operating ...

Spotter

Spotter AI is on the lookout for a dedicated and detail-oriented Claims Specialist to enhance our claims processing team. This remote position is vital in ensuring that our clients receive prompt and ...

IQVIA

Medical Biller/Claims Processing

Miami, FL · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Flagstaff, AZ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Ageatia Global Solutions

Processor, Claims I

$17.50 - $22/hr

Claims Processor FULL TIME REMOTE PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational ...

Ageatia Global Solutions

Processor, Claims I

$17.50 - $22/hr

FULL TIME REMOTE PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims ... processing requirements based on contracts, policies and procedures. Process product or system ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

NTT DATA currently seeks a Claims Processor to join our team for a remote position. Role ... Processing of professional claim forms files by provider * Reviewing the policies and benefits

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Arizona - Remote What you will be doing: * Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical ...

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How much do remote cognizant claims processing jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for remote cognizant claims processing in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.
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Infographic showing various Remote Cognizant Claims Processing job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.
Claims Quality Auditor - Remote

Claims Quality Auditor - Remote

Imagenet

Tampa, FL • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Job description

Claims Quality Auditor| Remote
Job Type: Full time
Work Setup: Remote
Reports to: Claims Supervisor
Position Summary:
The Claims Quality Auditor plays a key role in ensuring the accuracy, compliance, and effectiveness of claims processing and provider dispute resolution. The ideal candidate has hands on experience with EZCap, auditing claims, analyzing dispute claims and evaluating internal policies and regulatory requirements, with a particular focus on Medi-Cal and commercial health plans. This role is responsible to partners closely with cross-functional teams to drive continuous improvement and operational excellence.
Key Duties:
  • Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy and compliance with provider contracts and regulatory guidelines.
  • Analyze provider disputes for patterns or recurring issues.
  • Identify root causes and work with relevant teams to implement corrective actions and process improvements.
  • Develop and track performance related to claims accuracy, turnaround time, and dispute resolution efficiency.
  • Conduct thorough root cause analyses on high-impact errors or escalations.
  • Support training initiatives by identifying knowledge gaps and assisting in the development of updated procedures and documentation based on audit results.
  • Ensure all reviewed processes align with applicable regulatory requirements. Participate in internal and external audits as needed.

Qualifications:
  • High school diploma or equivalent
  • At least 3-5 years of Quality Analyst in healthcare, TPA, or health plan settings/ healthcare claims or in a claims processing/adjudication environment
  • Hands-on experience with EZCap (strongly preferred)
  • Familiarity with Medi-Cal and Commercial insurance claim
  • Strong analytical and problem-solving skills
  • Excellent verbal and written communication
  • Attention to detail in documentation and compliance
  • Ability to manage multiple tasks and meet deadlines
  • Experience with other claim adjudication platforms and provider systems.
  • Familiarity with DHCS, DMHC, CMS dispute handling regulations.

What We Offer
  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth

COMPANY OVERVIEW:
Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.
The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.
Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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