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Experience with Facets or Guidewire or QNXT. Experience with Facets or Guidewire or QNXT. Strong experience in integration, regression testing and complete QA lifecycle process - test strategy, creating test plans, test scenarios plus sql skills.
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Preferred:Hands-on testing experience on healthcare systems such as QNXT, Facets, Syntranet or equivalent. Preferred:Hands-on testing experience on healthcare systems such as QNXT, Facets, Syntranet or equivalent.
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Experience with Cognizant Product suite is a plus – QNXT, Clinical Care Advance, TCS, etc. Experience with Cognizant Product suite is a plus – QNXT, Clinical Care Advance, TCS, etc. Ability to maintain and execute automation (Selenium) and performance scripts (LoadRunner) is required.
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Familiarity with Healthcare Payer Administration Systems such as Facets, QNXT, Epic, MedHOK and NextGen Healthcare is preferred. Familiarity with Healthcare Payer Administration Systems such as Facets, QNXT, Epic, MedHOK and NextGen Healthcare is preferred.
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The ED Hold Coordinator has access to the HIE, CareUnify, Dynamo, and QNXT that helps to better understand the needs of the member and any supports/services that are established. The ED Hold Coordinator must navigate in two versions of QNXT environments to search all members who are holding.
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UMI Keyword translator will support QNXT To Facets or MHK to Facets UM files. They need to know Facets UM, QNXT data model, and Facets Data Models and facets UM module and have done UMI import.
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Entering authorizations using QNXT. The SE Secretary/Receptionist has overall responsibility for all daily front office functions. Entering authorizations using QNXT. Called Summit ElderCare, Fallon’s PACE program helps older adults and their caregivers to avoid or delay nursing home care.
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Strong Communication Skills Ability to work independently and self drive to meet turn around timeframes - QNXT systems experience *Education. This position can be Work From Anywhere in the United States - This position will support the roster team with large roster loads with focus on the coordination and collaboration of intaking large provider data sets and configuring provider demographic updates to drive uploads into QNXT *Required Qualifications.
$43,700 - $107,200 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Experience with QNXT claims processing systems a plus. Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida.
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Review and approve daily payment, line level reconciliation between SAP, QNXT and Payspan to ensure accurate processing, audit provider (EFT) Electric Funds Transfer data by working with a third party vendor, Payspan.
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Create authorizations in QNXT to support continuity of care for member. Create authorizations in QNXT to support continuity of care for member. Support comprehensive coordination of medical services including member transitions, screening and supporting the implementation of referrals to promote effective utilization of healthcare services.
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As the third-largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers. Work Perks program includes discounted movie and theme park tickets among other great deals.
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Good understanding of HIPAA ASC X12 transaction sets for healthcare (834, 837, 277, 835, 997/9, 270/1, 276/7, 820) and QNXT. Experience with Claims Adjudication and Processing and QNXT systems.
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QNXT system knowledge. 1+ years' experience with QuickBase. QNXT system knowledge. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS.
$18.5 - $35.29 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience with QNXT claims processing system preferred Knowledge of Medi-Cal claims processing, identification and processing of third-party. POSITION SUMMARY The Claims Manager is responsible for the design, development, implementation, ongoing improvement and maintenance of claims handling systems, policies and procedures and for related provider services.
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