Healthcare Business Analyst
$80,000-$115,000/yr
Healthcare QNXT Online Training Course
Build healthcare payer and QNXT platform knowledge for claims, enrollment, provider, benefits, testing, and operations roles.
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About This Healthcare QNXT Course
QNXT (Trizetto Claims processing system) provides several functionality which is supported under the application group or you can call modules. It helps the organizations to perform their day to day operational work by utilizing any or all of the application groups. QNXT is a registered trademark of Trizetto. QNXT is a web based system, developed in .Net technology and all the business rules are running behind the scene as a core functionality. It allows the industry users to be in compliant with all the latest mandates and legislation as long as the latest version of the solution is in place by the Facets users. QNXT is a healthcare information system by TriZetto (now part of Cognizant) used to manage patient care, administrative, and financial operations. Its features include care management, claims processing, provider network management, and member enrolment/eligibility management to improve patient outcomes, reduce costs, and increase operational efficiency.
What You'll Learn
US healthcare payer domain fundamentals
QNXT platform overview and common module navigation
Member enrollment, provider, benefits, authorization, and claims basics
Claims lifecycle, adjudication concepts, EDI overview, and testing scenarios
Healthcare data, reporting, compliance, and operational workflows
Resume, scenario-based interview, and project discussion preparation
Curriculum
Introduction of Healthcare
Building block of Healthcare
Claims Module
Definition of Insurance Claim
Claim generation
Claims Models Healthcare claims overview - Institutional, Professional, Dental and Pharmacy
Types of Claims
Health Insurance claims process - Adjudication (Acceptance, Denials, Rejections, others)
Claim Submission
Claims Intake process
Claims Adjudication
Claims Payment Header Details Line level Details
Who This Is For
Healthcare professionals, business analysts, QA testers, claims analysts, operations users, and IT professionals targeting healthcare payer roles.
Career Outcomes
QNXT QA Analyst
$75,000-$110,000/yr
Claims Systems Analyst
$78,000-$112,000/yr
Student Reviews
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Power BI Developer
Dallas, TX
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Meena A.
Drug Safety Associate
Chicago, IL
4.8
★★★★
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Frequently Asked Questions
Have questions before enrolling? Here are quick answers to what learners ask most often.
No. The course starts with healthcare payer domain basics before moving into QNXT workflows and scenarios.
Yes. The course includes domain workflows, scenarios, testing concepts, and interview preparation for healthcare IT roles.
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