Parkland Community Health Plan (PCHP) is seeking a Claims Adjudicator to review, adjudicate, and resolve Medicaid healthcare claims in the QNXT system. This hybrid role supports efficient claims operations, ensuring accuracy and compliance with Medicaid guidelines. PCHP is dedicated to improving member lives by empowering them to live healthier lives and fostering stronger communities.
Requirements
- Review and process healthcare claims within the QNXT system.
- Adjudic...
Requirements: HS diploma/equivalent & 2 yrs claims experience. Expertise in QNXT platform preferred. Strong analytical, communication, and conflict resolution skills