Claims Processing Executive
$17.50 - $22/hr
Healthcare Claims Processing Executive (QNXT Claims) Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage ...
New
Claims Processing Executive
$17.50 - $22/hr
Healthcare Claims Processing Executive (QNXT Claims) Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage ...
New
Claims Processing Executive
Iowa City, IA · On-site
$16.50 - $20.75/hr
Job Title: Healthcare Claims Processing Executive (QNXT Claims) Location: Remote ( Iowa Residents Only ) Tax Term: W2 Job Type: Contract Duration: 3-6 Months Join our team as a Claims Processing ...
Claims Processing Executive
Iowa City, IA · On-site
$16.50 - $20.75/hr
Job Title: Healthcare Claims Processing Executive (QNXT Claims) Location: Remote ( Iowa Residents Only ) Tax Term: W2 Job Type: Contract Duration: 3-6 Months Join our team as a Claims Processing ...
QNXT Medical Claims Processor (Healthcare BPO)
Phoenix, AZ · On-site
Medical
Review incoming medical claims on the QNXT platform and validate member details provider information and policy coverage to ensure accurate claim setup and processing * Process claims for medical ...
QNXT Medical Claims Processor (Healthcare BPO)
Phoenix, AZ · On-site
Medical
Review incoming medical claims on the QNXT platform and validate member details provider information and policy coverage to ensure accurate claim setup and processing * Process claims for medical ...
Claims Processing Executive
Phoenix, AZ · On-site
$17 - $21.25/hr
Claims Processing Executive Duration: 6-12 months Location: Onsite. Work Type: Rate: Pay range ... Core platform - QNXT claims experienced -Required * Eligibility Verification: Confirm patient ...
Quick apply
Claims Processing Executive
Phoenix, AZ · On-site
$17 - $21.25/hr
Claims Processing Executive Duration: 6-12 months Location: Onsite. Work Type: Rate: Pay range ... Core platform - QNXT claims experienced -Required * Eligibility Verification: Confirm patient ...
Healthcare Claims Specialist
Tulsa, OK · On-site
$18 - $20/hr
Medical
Dental
Vision
Life
Retirement
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Quick apply
Healthcare Claims Specialist
Tulsa, OK · On-site
$18 - $20/hr
Medical
Dental
Vision
Life
Retirement
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Healthcare Claims Specialist
Tulsa, OK · On-site
$18 - $20/hr
Medical
Dental
Vision
Life
Retirement
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Quick apply
Healthcare Claims Specialist
Tulsa, OK · On-site
$18 - $20/hr
Medical
Dental
Vision
Life
Retirement
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Healthcare Claims Specialist
Tulsa, OK · On-site
$18 - $20/hr
Medical
Dental
Vision
Life
Retirement
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Quick apply
Healthcare Claims Specialist
Tulsa, OK · On-site
$18 - $20/hr
Medical
Dental
Vision
Life
Retirement
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Healthcare Claims Specialist
Tulsa, OK · On-site
$18 - $20/hr
Medical
Dental
Vision
Life
Retirement
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Quick apply
Healthcare Claims Specialist
Tulsa, OK · On-site
$18 - $20/hr
Medical
Dental
Vision
Life
Retirement
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
QNXT Benefit Configuration Analyst
Brooklyn, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Brooklyn, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Brooklyn, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Brooklyn, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Passaic, NJ · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Passaic, NJ · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Pelham, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Pelham, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Englewood Cliffs, NJ · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Englewood Cliffs, NJ · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Hollis, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Hollis, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Rochelle Park, NJ · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Rochelle Park, NJ · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Saint Albans, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Saint Albans, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Staten Island, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Staten Island, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Corona, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
QNXT Benefit Configuration Analyst
Corona, NY · Remote
Medical
... claims processing, SQL, and end-to-end testing. Roles and Responsibilities * Configure and maintain ... Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly.
Qnxt Claims Processing information
See salary details
$12.02 - $13.33
2% of jobs
$13.33 - $14.64
6% of jobs
$14.64 - $15.95
9% of jobs
$16.63 is the 25th percentile. Wages below this are outliers.
$15.95 - $17.26
14% of jobs
$17.26 - $18.58
18% of jobs
The median wage is $18.62 / hr.
$18.58 - $19.89
17% of jobs
$20.61 is the 75th percentile. Wages above this are outliers.
$19.89 - $21.20
16% of jobs
$21.20 - $22.51
7% of jobs
$22.51 - $23.82
4% of jobs
$23.82 - $25.13
4% of jobs
$25.13 - $26.44
2% of jobs
$12
$19
$26
How much do qnxt claims processing jobs pay per hour?
As of Aug 14, 2026, the average hourly pay for qnxt claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.
What are some common challenges faced in a QNXT claims processing role, and how can they be effectively managed?
Professionals in Qnxt Claims Processing often encounter challenges such as navigating complex insurance policies, resolving discrepancies in claim data, and meeting tight deadlines while maintaining a high level of accuracy. Effective management of these challenges involves a strong attention to detail, familiarity with Qnxt software functionalities, and clear communication with both internal teams and external providers. Additionally, staying updated on regulatory changes and participating in ongoing training can help streamline processes and reduce errors, making the work more efficient and less stressful.
What is the difference between Qnxt Claims Processing vs Claims Analyst?
| Aspect | Qnxt Claims Processing | Claims Analyst |
|---|---|---|
| Certifications | Healthcare IT, Claims Processing Certifications | Claims Processing, Healthcare Billing Certifications |
| Work Environment | Healthcare insurance companies, third-party administrators | Insurance companies, healthcare providers, third-party payers |
| Job Focus | Managing and processing claims using Qnxt software | Analyzing claims data, resolving discrepancies, ensuring accuracy |
Qnxt Claims Processing specialists primarily focus on managing claims through the Qnxt platform, ensuring efficient processing and compliance. Claims Analysts, on the other hand, analyze claims data, identify issues, and resolve discrepancies. While both roles require knowledge of healthcare claims and certifications, Qnxt Claims Processing roles are more technical and software-specific, whereas Claims Analysts focus on data analysis and problem-solving within the claims process.
What are the key skills and qualifications needed to thrive as a QNXT claims processor?
To thrive as a QNXT Claims Processor, you need strong analytical skills, attention to detail, and a solid understanding of healthcare insurance claims, often supported by relevant experience or training. Proficiency in QNXT claims management software, knowledge of ICD-10, CPT coding, and familiarity with HIPAA regulations are typically required. Excellent communication, organizational abilities, and problem-solving skills help you manage claim inquiries and resolve discrepancies effectively. These skills ensure accurate claims adjudication, timely processing, and compliance with regulatory standards, which are vital for operational efficiency in healthcare organizations.
Is claims processing a stressful job?
Qnxt Claims Processing involves reviewing and managing insurance claims, which can be stressful due to tight deadlines, high accuracy requirements, and the need to handle complex or disputed claims. The job often requires attention to detail, familiarity with claims processing software, and the ability to work efficiently under pressure.
What is QNXT claims processing?
QNXT claims processing refers to the use of the QNXT software platform, developed by TriZetto, to automate and manage healthcare claims for insurance companies and healthcare providers. This system streamlines the claims lifecycle, from submission and validation to adjudication and payment. It helps organizations improve accuracy, reduce processing times, and ensure compliance with industry regulations. QNXT is widely used in the healthcare industry to increase operational efficiency and enhance member and provider satisfaction.
More about Qnxt Claims Processing jobs
What cities are hiring for Qnxt Claims Processing jobs?
Cities with the most Qnxt Claims Processing job openings:
What states have the most Qnxt Claims Processing jobs?
States with the most job openings for Qnxt Claims Processing jobs include:
What job categories do people searching Qnxt Claims Processing jobs look for?
The top searched job categories for Qnxt Claims Processing jobs are:
Job description
Healthcare Claims Processing Executive (QNXT Claims)
Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts, allowing you to balance work and personal commitments effectively. Your contributions will directly impact the accuracy and efficiency of our claims processing, enhancing customer satisfaction and operational excellence.
Roles & Responsibilities:- Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies.
- Work on the QNXT claims platform (Required).
- Verify patient eligibility, coverage, benefits, and pre-authorization requirements under Medicare, Medicaid, and private insurance plans.
- Approve, deny, or adjust claims based on payer guidelines and policy terms.
- Maintain compliance with HIPAA regulations, CMS guidelines, and other US healthcare compliance standards.
- Record claim activity, maintain audit trails, and prepare reports for management.
- Utilize MS Excel for claims tracking, reporting, and analysis.
- QNXT Claims Processing (Required)
- Healthcare Claims Processing
- Commercial Claims
- Medicare
- Medicaid
- Commercial Insurance
- Claims Adjudication
- Eligibility Verification
- HIPAA Compliance
- CMS Guidelines
- EDI Transactions
- Claims Management Software
- MS Excel
- Insurance Policy Interpretation
- Analytical & Problem-Solving Skills
- Strong Communication Skills
- Detail-Oriented
- High school diploma or equivalent (Required).
- 2–4 years of experience in US healthcare claims processing.
- Strong knowledge of US healthcare insurance systems, including Medicare, Medicaid, and commercial payers.
- Familiarity with claims management software and EDI transactions.
- Excellent analytical, organizational, and communication skills.
- Ability to interpret insurance policies and payer guidelines.
- Detail-oriented with strong problem-solving abilities.
- Must be a resident of Iowa.
- Must be comfortable with a 3–6 month contract.