Hi,

Hope you are doing great,

Direct Client Requirment
Subject: QNXT Claims Examiner
Location: Los Angeles, CA
Duration: 3 Months Contract

Note: Need G.C-EAD,G.C & U.S Citizen

*Reply Me At j...@itbtalent.com <j...@itbtalent.com>*

Main Responsibilities
-Complex healthcare payer claims processing
-Identify and investigate system and benefit discrepancies and follow
through with proposed resolution
-Identification and implementation of process improvements and efficiencies
-Exhibit a spirit of teamwork and contribute ideas for division and company
success
-Perform special projects and participate in workgroups to improve internal
processes as needed
-Interaction with business users for requirement clarification and
resolution of incidents reported
-Responsible for root cause analysis for major incidents
-Coordination with Business Units and Development Teams

Qualifications
-High school graduate

Skills
-Experience on QNXT claims platform
-Health insurance background
-Strong analytical abilities
-PC skills
-45+ WPM typing speed preferred
-Experience in identifying upstream and downstream system impact

Experience
-Strong  QNXT knowledge
-Knowledge of processing SPD/Institutional and Medical Only claims on QNXT
-Should have the ability to work in high pressure environment
-Minimum experience 6 years as a claims examiner
-Medical Claims Knowledge - Payer Claims Processor, or Medical Billing, or
Customer Service Representative for healthcare payer
-Ability to quickly adapt to process changes
-Comfortable working in a production environment
-Demonstrated ability to process a high volume of claims in a fast-paced
environment
-Recent work history that supports excellent organization, problem-solving,
communication, teamwork and interpersonal skills
-Demonstrated flexibility and willingness to change as business needs
change within the organization
-Proven written and verbal communication skills essential
- Proven problem solver who can work under their own initiative
-Good analytical, problem solving, Communication and Interpersonal skills

Regards,
Jack Anderson -Sr.Technical IT Recruiter
ITBrainiac Inc.,
j...@itbtalent.com
Direct :  609-935-3773 X 103
116 Village Blvd, Suite 200 - Princeton, NJ 08540
www.itbrainiac.com

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