Live opening · Posted 3 days ago
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About the role
Description supplied by the original job listing.
Claims Processing Executive (Healthcare) - Remote
Location: 100% remote
Experience: 2-4 Years
Key Requirements:
QNXT Claims Processing experience (Required)
Healthcare claims processing background
Knowledge of Medicare, Medicaid, and Commercial Insurance
Strong MS Excel skills
Experience with claims adjudication, eligibility verification, and compliance
Familiarity with EDI transactions and claims management systems
Responsibilities:
Review, validate, and process healthcare claims
Verify member eligibility and benefits
Adjudicate claims based on payer guidelines
Maintain HIPAA and CMS compliance
Document claim activities and prepare reports
Required Education:
High School Diploma or Equivalent
You can also reach me directly:
Bijaya Datta
📧 bijaya.datta@hays.com
Work arrangement
Yes
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