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Contractual Qnxt Jobs (NOW HIRING)

1199SEIU Funds

Hospital Claims Processor V

New York, NY · On-site

$45K - $57K/yr

... QNXT); determine the process or work flow needed to resolve discrepancies * Finalize hospital claims by applying knowledge of eligibility, benefits, pre-authorization rules, contractual policy and ...

HMSA

Medical Management Specialist I

Kapolei, HI · On-site

Application of internal policies and procedures, contractual provisions, and regulatory ... Processing of the Aerial to QNXT (A2Q) error / balance reports by: * Accurately building UMD ...

HMSA

Medical Management Specialist I

Kapolei, HI · On-site

Application of internal policies and procedures, contractual provisions, and regulatory ... Processing of the Aerial to QNXT (A2Q) error / balance reports by: * Accurately building UMD ...

COMMUNITY HEALTH GROUP

Internal Auditor

Chula Vista, CA · On-site

$70K - $82K/yr

Stays up to date with all relevant changes to state and federal regulations, contractual ... Knowledge of QNXT and related software applications; ability to navigate internal data and systems.

CVS Health

Analyst - Medicaid Network Operations

$46K - $112K/yr

Perform thorough reviews of all incoming contractual documents to ensure completeness and accuracy ... Experience working in TriZetto QNXT * Experience with medical terminology * Experience working with ...

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Contractual Qnxt information

What is the difference between Contractual Qnxt vs Contractual Claims Analyst?

AspectContractual QnxtContractual Claims Analyst
CertificationsQnxt certification, healthcare IT knowledgeClaims processing certifications, healthcare claims knowledge
Work EnvironmentHealthcare IT systems, insurance companiesInsurance companies, healthcare providers
Industry UsageHealth insurance administration, IT supportClaims review, reimbursement processing

Contractual Qnxt professionals focus on managing healthcare insurance systems using Qnxt software, often working in IT or administrative roles. Contractual Claims Analysts primarily handle claims processing and reimbursement tasks within insurance or healthcare organizations. While both roles operate within the healthcare insurance industry, Contractual Qnxt specialists emphasize system management, whereas Claims Analysts focus on claims review and payment processing.

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Infographic showing various Contractual Qnxt job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 57% In-person, 14% Hybrid, and 29% Remote job distribution.

Hospital Claims Processor V

1199SEIU Funds

New York, NY • On-site

$45K - $57K/yr

Full-time

Medical

Re-posted 19 days ago

Job description

Requisition #:
7513
# of openings:
1
Employment Type:
Full time
Position Status:
Permanent
Category:
Bargaining
Workplace Arrangement:
Hybrid
Fund:
1199SEIU National Benefit Fund
Work Hours:
M - F, 9:00 a.m. to 5:00 p.m.
Internal Closing Date:
8/20/26
Job Classification:
Non-Exempt
Responsibilities
  • Review hospital claims and determine action needed to resolve pended claims
  • Process and evaluate hospital claims manually or through claims work flow
  • Validate information entered in hospital claims module (QNXT); determine the process or work flow needed to resolve discrepancies
  • Finalize hospital claims by applying knowledge of eligibility, benefits, pre-authorization rules, contractual policy and operational procedures
  • Review, finalize and respond to call tracking tickets in a timely manner to provider inquires
  • Perform additional duties and special projects as assigned by management

Qualifications
  • High School Diploma or GED required, some College or Degree preferred
  • Minimum two (2) years experience entering and updating hospital or medical claims in a health insurance or benefits environment required
  • Basic keyboarding skills required
  • Strong knowledge of hospital claims, eligibility, benefits, and reauthorization rules; knowledge of health claims system (QNXT)
  • Good knowledge of International Classification of Diseases (ICD-9, ICD-10) and Current Procedural Terminology (CPT) codes
  • Demonstrated organizational, perform multiple priorities, and analytical skills with the ability to follow through on assignments
  • Able to work well independently and in a team environment
  • Ability to meet strict deadlines, work well under pressure and in a fast-paced environment
  • Must meet performance standards including attendance and punctuality

Apply