Medicaid Claims Processor – Remote (United States)

Help ensure accurate and timely claims adjudication while working from home.

About BroadPath
BroadPath is a leader in healthcare business services, supporting health plans and providers with compliance-driven solutions that improve accuracy, efficiency, and outcomes. We’ve built a collaborative, fully remote culture that values authenticity, diversity, and innovation.

Schedule

  • Remote (U.S.-based)
  • Full-time role

Responsibilities

  • Process Medicaid insurance claims accurately, ensuring all data is entered and verified
  • Review and adjudicate claims based on guidelines, regulations, and best practices
  • Use QNXT systems to manage claims and maintain real-time updates
  • Adhere to CMS regulations and ensure compliance at every step
  • Troubleshoot and resolve discrepancies within claims
  • Maintain accurate records, documentation, and reports to track claim status and outcomes
  • Communicate with internal teams and external partners to clarify questions or resolve issues
  • Stay updated on policy changes, healthcare regulations, and industry standards
  • Support process improvements to increase claims accuracy and efficiency
  • Perform additional duties as assigned

Requirements

  • Minimum 1 year of experience in Medicaid claims processing
  • Proficiency in QNXT claims systems
  • Strong attention to detail and analytical skills
  • Excellent organizational and time management skills
  • Effective verbal and written communication abilities
  • Ability to work independently in a remote environment
  • High school diploma or equivalent required

Compensation & Benefits

  • Competitive pay, determined by experience and location
  • Equal opportunity employer with a strong commitment to diversity and inclusion
  • Supportive, engaging remote culture with career growth opportunities

BroadPath celebrates diversity and fosters an inclusive environment where everyone feels valued and empowered. Join us and make a difference in healthcare from anywhere in the U.S.

Happy Hunting,
~Two Chicks…

APPLY HERE