(Remote – U.S.)
✅ Position Highlights
• 💼 Employment Type: Full-Time
• 🏡 Location: 100% Remote (U.S. only)
• 📊 Department: Claims Processing
• 🔧 Software Experience Required: QNXT
📋 What You’ll Own
• Accurately process and adjudicate Medicaid insurance claims
• Enter and verify data using QNXT systems
• Ensure compliance with CMS guidelines and regulatory standards
• Identify and resolve discrepancies or errors within claims
• Maintain thorough documentation and reports to track claim outcomes
• Communicate with internal teams and partners to resolve claim-related issues
• Stay updated on industry policies, regulations, and Medicaid standards
• Support claims team with process improvement initiatives and additional duties
🎯 Must-Have Traits
• Minimum 1 year of Medicaid claims processing experience
• Hands-on proficiency with QNXT claims system
• High attention to detail with strong analytical and organizational skills
• Ability to manage multiple claims under tight deadlines
• Excellent written and verbal communication skills
• Self-motivated and disciplined while working remotely
• High school diploma or equivalent
💻 Remote Requirements
• Reliable internet and home office setup
• Must reside in the United States
• Ability to work independently with minimal supervision
💡 Why It’s a Win for Remote Job Seekers
A great fit for detail-oriented professionals looking to apply their Medicaid claims expertise from home. This role offers the stability of full-time work, the flexibility of remote life, and the satisfaction of helping streamline vital healthcare reimbursements.
✍️ Call to Action
If you’re experienced with QNXT and Medicaid claims and thrive in a remote work environment, this is your opportunity. Apply now to help deliver accuracy, speed, and compliance in health claim processing.