Insurance Specialist

🔥 2 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

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Quadax, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1973

🏥 Healthcare

☁️ SaaS

🤖 Artificial Intelligence

Healthcare • SaaS • Artificial Intelligence

Quadax, Inc. is a healthcare-focused revenue cycle management company that provides software and services to automate and optimize billing, claims processing, denial management, patient access, and reimbursement for hospitals, laboratories, physician groups, DME providers, and post-acute care organizations. Combining more than 50 years of RCM expertise with AI-powered analytics and intelligent automation (branded as iQ), Quadax helps healthcare organizations reduce denials, accelerate payments, improve cash flow, and enhance the patient experience. The company offers enterprise-level SaaS solutions and managed services tailored to the needs of healthcare providers and billing partners.

📋 Description

• Follow up on claim status via insurance portals or calls to payers to determine adjudication and details. • Call payers and patients as needed to resolve claim rejections, challenge processing decisions, and verify insurance coverage. • Verify patient insurance eligibility and coordination of benefits. • Review and analyze payer correspondence. • Investigate electronic claim rejections. • Submit claims for processing corrections, to secondary insurances, or to updated addresses. • Research requests for insurance payment retractions. • Monitor and notify management of payer trends and/or claim processing issues. • Meet or exceed productivity and quality KPI goals. • Perform other duties as assigned.

🎯 Requirements

• High School diploma or GED • Previous health insurance billing experience • Working knowledge of medical terminology • Strong problem-solving skills and the ability to adapt to changes in policies, regulations, and procedures • Excellent written and verbal communication skills • High attention to detail • Ability to interact effectively with others • Ability to maintain confidentiality • Proficient computer skills with knowledge of Microsoft Word and Excel