Medicaid QNXT Claims Analyst — Adjudication & Edits Expert

Veriipro; Hartford (CT); On-site; Full time

Job description

Minimum years of experience required: 6+ years Certification needed: Not mandatory

Must Have Skills

• Medicaid EDI 837 Claims Adjudication Expertise in QNXT with CXT Edits.
• US Healthcare Provider Contracting and Demographics Expertise.
• Medicaid Healthcare Plans Configuration for Claims Processing.
• Knowledge on SQL queries.

Detailed Job Description

1. Medicaid Claims Adjudication in QNXT Platform.
2. Medicaid CXT Claim Edits Hands on Expertise.
3. Knowledge on US Healthcare Provider Plans and different Classifications/Specialties.
4. Experience in Manual Automation Testing planning execution.
5. Strong understanding of Software Testing methodologies.
6. Experience with Test Management tools Rational Tool suite, JIRA.
7. Working experience in Test Plan, Test Scripts and Test Result preparation, Status reporting.
8. Strong communication skills.
9. Knowledge on SQL queries.