ZipRecruiter

Log In

2

Full Time Qnxt Jobs (NOW HIRING)

HealthEdge

Technology Strategy & Solution Architect

$64.50 - $85/hr

Facets, QNXT, Javelina, QicLink, homegrown) and define migration pathways to modern platforms ... Employment: Full-time, permanent FLSA Classification (USA Only): Exempt Work Environment: The ...

next page

Showing results 1-20

All JobsFull Time Qnxt Jobs

Full Time Qnxt information

What are some common challenges faced by Full Time QNXT professionals when managing complex healthcare claims?

Full Time QNXT professionals often encounter challenges such as navigating intricate claims data, adapting to frequent regulatory updates, and ensuring data accuracy while processing high volumes of transactions. Collaboration with IT, clinical, and business teams is essential to resolve system issues and streamline workflows. To succeed, professionals must stay current with QNXT system enhancements and industry best practices, which helps ensure compliance and operational efficiency.

What are the key skills and qualifications needed to thrive as a Full Time QNXT Analyst, and why are they important?

To thrive as a Full Time QNXT Analyst, you need a solid understanding of healthcare claims processing, benefit configuration, and experience with the QNXT platform, often supported by a degree in healthcare administration or a related field. Proficiency with QNXT software, SQL, and knowledge of related systems like EDI and HIPAA compliance is typically required. Strong problem-solving abilities, attention to detail, and effective communication are important soft skills in this role. These competencies ensure accurate claims processing, regulatory compliance, and collaboration across teams for efficient healthcare operations.

What is a Full Time QNXT job?

A Full Time QNXT job typically refers to a position where an employee works with the QNXT software system, which is a healthcare payer core administration platform developed by TriZetto. Professionals in these roles may be responsible for configuring, maintaining, or supporting QNXT for health insurance companies, focusing on claims processing, member management, and provider data. Full-time QNXT jobs can include roles like QNXT Analysts, Developers, Business Analysts, and Support Specialists. These positions generally require knowledge of healthcare processes, experience with QNXT, and problem-solving skills. Working full-time means a standard workweek, often with benefits and long-term employment.

What is the difference between Full Time Qnxt vs Health Insurance Claims Processor?

AspectFull Time QnxtHealth Insurance Claims Processor
CredentialsTypically requires knowledge of Qnxt software, healthcare billing, and coding certificationsRequires understanding of insurance policies, billing, and coding, often with similar certifications
Work EnvironmentOffice-based, healthcare or insurance company settings, involving software use and data managementOffice or remote, handling claims data, customer interactions, and billing processing
Industry UsagePrimarily in healthcare administration, insurance companies, and third-party administratorsIn healthcare insurance companies, hospitals, and billing services

Full Time Qnxt roles focus on managing healthcare data using the Qnxt platform, requiring specific software knowledge and certifications. Health Insurance Claims Processors handle claims and billing, often with overlapping skills. Both roles are essential in healthcare administration but differ mainly in software specialization and daily tasks.

More about Full Time Qnxt jobs
What cities are hiring for Full Time Qnxt jobs? Cities with the most Full Time Qnxt job openings:
What are the most commonly searched types of Qnxt jobs? The most popular types of Qnxt jobs are:
What states have the most Full Time Qnxt jobs? States with the most job openings for Full Time Qnxt jobs include:
What job categories do people searching Full Time Qnxt jobs look for? The top searched job categories for Full Time Qnxt jobs are:
Full Time Qnxt jobs near you
Infographic showing various Full Time Qnxt job openings in the United States as of June 2026, with employment types broken down into 65% Full Time, and 35% Part Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Chief Clerk III

1199 Seiu National Benefit Fund

Manhattan, NY • On-site

$45K - $57K/yr

Full-time

Posted 7 days ago

Job description

Requisition #:
7467-7468
# of openings:
2
Employment Type:
Full time
Position Status:
Permanent
Category:
Bargaining
Workplace Arrangement:
Hybrid
Fund:
1199SEIU National Benefit Fund
Job Classification:
Non-Exempt
Responsibilities:
• Maintain accurate data entry of 199SEIU member information in hospital claims processing system (QNXT)
• Track and ensure completeness of daily inquires; ensure they are sent to appropriate payment area for adjustment including but not limited to DMS (Data Management System)
• Prepare MSP (Medicare Secondary Payer) claims/rebuttals, scan and archive supporting documents
• Scan and archive documents into DMS (Data Management System)
• Mail and maintain reconsideration letters including maintaining of acknowledgement of reconsideration letters
• Track misdirected provider inquiries received from internal departments within the Fund, enter memo into QNXT and upload document to DMS (Data Management System)
• Handle claim pending with edits for preparation of external transmission files, including review of aged edit(s), retrieval, and assignment of determination of incoming transmission files, follow up, sort and data entry of transmission files related information as needed
• Review and maintain daily utilization management of claims and/or documents to ensure information is accurate and loaded in the claims system are correct, including updating memos and internal tracking logs with determination
• Maintain monthly invoice report to ensure information is accurate and determinations loaded into claims processing system are correct; including updating memos of provider inquiries and medical records received, revised DRG received as well as claims processing/payment information; update internal spreadsheet tracker with claim determination
• Communicate and follow up with external provider and/or vendor via telephone and/or email
• Provide clerical support to the Hospital Claims department including but not limited to handling of mail filing, typing, photocopying, faxing, deliveries, etc.
• Perform additional duties and special projects assigned by management
Qualifications:
• High School Diploma or GED required, some College or Degree preferred
• Minimum two (2) years clerical experience in a general office environment required
• Basic skill level in Microsoft Excel and Word preferred
• Excellent date entry skills required
• Knowledge of hospital claims system (QNXT) and ability to check hospital claims history and eligibility
• Excellent oral and written communication skills
• Demonstrated organizational skills with ability to multi-task and follow up
• Problem solver with ability to work independently and as a team player

Apply