(Remote – U.S.)
✅ Position Highlights
• Location: United States (Remote)
• Employment Type: Full-Time
• Department: Medicaid Claims | Healthcare Operations
• System Knowledge: QNXT required
• Pay: Not listed
📋 What You’ll Own
• Accurately process Medicaid insurance claims and ensure all data is verified
• Review and adjudicate claims according to Medicaid policy, CMS regulations, and industry best practices
• Utilize the QNXT system for claims management, real-time data entry, and updates
• Identify and resolve discrepancies or errors in claims documentation
• Maintain accurate records, audit trails, and documentation for all claims
• Communicate with internal departments and external partners to resolve claim-related issues
• Stay up to date on Medicaid guidelines and healthcare insurance regulations
• Contribute to team process improvement efforts for better accuracy and workflow
• Perform additional duties as needed in support of the claims team
🎯 Must-Have Traits
• Minimum 1 year of experience processing Medicaid claims
• Proficient in QNXT claims management software
• High attention to detail with strong analytical and problem-solving skills
• Excellent organizational skills with the ability to manage multiple tasks under tight deadlines
• Strong verbal and written communication skills
• Ability to work independently in a remote environment with minimal supervision
• High school diploma or GED required
💻 Remote Requirements
• Reliable high-speed internet connection
• Distraction-free home office setup
• Ability to remain focused and productive in a remote role
💡 Why It’s a Win for Remote Healthcare Professionals
• Join a mission-driven team focused on Medicaid compliance and accurate healthcare delivery
• Gain exposure to the QNXT system while supporting critical backend operations
• Be a key part of improving patient outcomes through precise claims handling
• Ideal for detail-oriented remote workers with Medicaid experience
✍️ Call to Action
Are you a skilled Medicaid claims processor ready to make an impact from home? Apply now to help streamline healthcare access and support policy-compliant reimbursement.