Quadax, Inc.

Insurance Specialist – Temp

Quadax, Inc.

full-time

Posted on:

Location Type: Remote

Location: Ohio • United States

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About the role

  • 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
  • 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 basic knowledge of Microsoft Word and Excel
  • Previous health insurance billing experience (preferred)
  • Working knowledge of medical terminology (preferred)
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
insurance billingclaim processinginsurance eligibility verificationproblem-solvingdata analysisclaims submissionmedical terminology
Soft Skills
adaptabilitycommunicationattention to detailinterpersonal skillsconfidentiality
Certifications
High School diplomaGED