Process Specialist - HC

We are seeking a Process Specialist for our Healthcare division with 0 to 1 year of experience. The ideal candidate will have expertise in Advanced Excel and Claims Adjudication. This role involves working in a hybrid model with night shifts. The candidate should be proficient in English and have a keen interest in healthcare claims processing. Responsibilities Analyze healthcare claims data to ensure accuracy and compliance with regulatory standards. Utilize Advanced Excel skills to manage and manipulate large datasets for reporting and analysis. Perform claims adjudication tasks to determine the validity and accuracy of claims. Collaborate with team members to resolve discrepancies and improve claims processing efficiency. Provide support in the development and implementation of process improvements. Maintain up-to-date knowledge of healthcare regulations and policies. Communicate effectively with internal and external stakeholders to address claims-related issues. Ensure timely and accurate processing of claims to meet organizational targets. Participate in training sessions to stay current with industry best practices. Assist in the preparation of reports and documentation for management review. Contribute to the continuous improvement of claims processing workflows. Support the team in achieving performance metrics and quality standards. Demonstrate a commitment to customer service and operational excellence. Qualifications Possess strong technical skills in Advanced Excel for data analysis and reporting. Have experience in claims adjudication to ensure accurate and compliant claims processing. Knowledge of Medicare and Medicaid claims is a plus. Familiarity with commercial claims is an added advantage. Proficient in English with excellent reading writing and speaking skills. Ability to work night shifts in a hybrid work model. Strong attention to detail and problem-solving skills. Effective communication and collaboration abilities. Commitment to continuous learning and professional development. Certifications Required Certified Professional Coder (CPC) or equivalent certification in healthcare claims processing.

Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant (a member of the NASDAQ-100 and one of Forbes World's Best Employers 2024) is consistently listed among the most admired companies in the world.