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