- Molina Healthcare (Houston, TX)
- …health plans. + Must have experience in Contracts and Benefits configuration in QNXT or Networx + Must have knowledge on Medicare payment methods + Experience ... and experience **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT , claims processing and hospital claims payment method. **Preferred Educationv**… more
- Molina Healthcare (Houston, TX)
- …**Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it… more
- Molina Healthcare (Houston, TX)
- …and claim processing from receipt through encounter submission + Strong Knowledge in QNXT required + Knowledge of Edifecs strongly preferred + Strong SQL knowledge ... required + Ability to write complex queries for impact analysis + Writes complex ad-hoc reports + Understanding of Healthcare EDI Claims transactions preferred + Understanding of complex claim payment methodologies + Understanding of configuration solutions… more