Healthcare Claims Specialist

Job Description

Job Description

Healthcare Claims Specialist (CONTRACT Opportunity)

Downtown Tulsa, OK Monday–Friday | 8:00 AM – 5:00 PM | Onsite Project Assignment Through October - IMMEDIATE START Pay rate DOE: $18-20/hr.

System One is hiring a Healthcare Claims Specialist for a project-based opportunity with a respected healthcare organization in Tulsa. If you have healthcare claims or medical insurance experience and enjoy problem-solving in a fast-paced environment, we'd love to hear from you!

What You'll Do

• Learn and work within the QNXT claims processing system.
• Execute system and user acceptance testing (UAT) during implementation.
• Validate member benefits, eligibility, and claims processing.
• Verify claims adjudication accuracy and provider contract configurations.
• Identify, document, and communicate testing results and system issues.
• Collaborate with project teams to troubleshoot and resolve issues.
• Support successful implementation of a major claims system project.

What We're Looking For

• Healthcare claims processing experience preferred.
• Medical insurance, healthcare operations, or related healthcare experience required.
• Previous QA, system testing, or UAT experience is a plus.
• Strong analytical skills and exceptional attention to detail.
• Excellent computer, documentation, and communication skills.
• Experience with QNXT is preferred but not required.

If you're ready to put your healthcare claims experience to work on an exciting implementation project, apply today!

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

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