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Qnxt Claims Processing Jobs (NOW HIRING)

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

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.

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

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.

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

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.

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

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 ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

... 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 ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

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 ...

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Qnxt Claims Processing information

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How much do qnxt claims processing jobs pay per hour?

As of Jul 18, 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 easiest hospital job to get into?

For Qnxt Claims Processing roles, entry-level positions such as claims assistant or data entry clerk are typically the easiest to obtain, often requiring minimal prior experience and basic computer skills. These roles may also require familiarity with healthcare billing software and attention to detail, making them accessible for newcomers to hospital administration jobs.

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

AspectQnxt Claims ProcessingClaims Analyst
CertificationsHealthcare IT, Claims Processing CertificationsClaims Processing, Healthcare Billing Certifications
Work EnvironmentHealthcare insurance companies, third-party administratorsInsurance companies, healthcare providers, third-party payers
Job FocusManaging and processing claims using Qnxt softwareAnalyzing 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, and why are they important?

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 can be a demanding role due to the need for accuracy, attention to detail, and meeting deadlines. The job often involves handling high volumes of claims and requires strong organizational skills, which can contribute to stress levels, especially during busy periods or when resolving complex issues.

Is QNXt an EHR?

Qnxt Claims Processing is a software system used for managing insurance claims and billing, and it is not an Electronic Health Record (EHR) system. It focuses on claims processing, reimbursement, and administrative tasks within healthcare organizations. Professionals working with Qnxt may need knowledge of healthcare billing and claims workflows but do not typically handle patient medical records directly.

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.

What is TriZetto QNXt?

TriZetto QNXt is a healthcare technology platform used for claims processing and management. It is part of the TriZetto Healthcare Suite, which supports insurance companies and healthcare providers in handling claims, billing, and administrative tasks efficiently.
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:
Qnxt Claims Processing jobs near you
Infographic showing various Qnxt Claims Processing job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Healthcare Claims Specialist

Healthcare Claims Specialist

System One Holdings, LLC

Tulsa, OK • On-site

$18 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 8 days ago

Job description

Healthcare Claims Specialist (CONTRACT Opportunity)
Downtown Tulsa, OK
Monday-Friday | 8:00 AM - 5:00 PM | Onsite
Project Assignment Through March 2027 - IMMEDIATE START
Pay rate DOE: $18-20/hr.
System One is hiring a Healthcare Claims Specialist for a project-based opportunity with a respected healthcare organization in Tulsa. If you have healthcare claims or medical insurance experience and enjoy problem-solving in a fast-paced environment, we'd love to hear from you!
What You'll Do
  • 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.
  • Verify claims adjudication accuracy and provider contract configurations.
  • Identify, document, and communicate testing results and system issues.
  • Collaborate with project teams to troubleshoot and resolve issues.
  • Support successful implementation of a major claims system project.

What We're Looking For
  • Healthcare claims processing experience preferred.
  • Medical insurance, healthcare operations, or related healthcare experience required.
  • Previous QA, system testing, or UAT experience is a plus.
  • Strong analytical skills and exceptional attention to detail.
  • Excellent computer, documentation, and communication skills.
  • Experience with QNXT is preferred but not required.

If you're ready to put your healthcare claims experience to work on an exciting implementation project, apply today!
System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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Ref: #208-Rowland Tulsa

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