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Insurance Specialist
Quadax, Inc.Insurance Specialist in remote role handling claims status and verifying patient insurance eligibility. Interacting with payers and patients while achieving productivity and quality goals.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Quadax, Inc. Website LinkedIn All Job Openings 501 - 1000 employees Founded 1973 ☁️ SaaS 🤝 B2B 🤖 Artificial Intelligence SaaS
- B2B
- 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. Insurance Specialist 🔥 43 minutes ago 🏈 Ohio – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🔒 Insurance Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 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 Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Senior Insurance Authorization Specialist 🔥 2 hours ago Ensemble Health Partners 5001 - 10000 ⚕️ Healthcare Insurance ☁️ SaaS 🏢 Enterprise Website LinkedIn All Job Openings Senior Insurance Authorization Specialist supporting insurance verification and authorization for patients scheduled at Ensemble Health Partners. Ensuring compliance and assisting in mentoring team members. 🇺🇸 United States – Remote 💵 $18 / hour 💰 Private Equity Round on 2022-03 ⏰ Full Time 🟠 Senior 🔒 Insurance Career Focused Life Insurance Leaders 🔥 16 hours ago Legacy Planning 1 - 10 👥 B2C Website LinkedIn All Job Openings GIA Legacy Planning seeks Life Insurance Leaders focused on client insurance solutions. Opportunity for remote work with strong mentorship and advancement into leadership roles. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🔒 Insurance Life Insurance Leader 🔥 16 hours ago Legacy Planning 1 - 10 👥 B2C Website LinkedIn All Job Openings Join GIA Legacy Planning as a leader in providing tailored insurance solutions. Develop client relationships and enjoy flexible, remote work opportunities. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🔒 Insurance Life Insurance Leader 🔥 16 hours ago Legacy Planning 1 - 10 👥 B2C Website LinkedIn All Job Openings Life Insurance Leaders at GIA Legacy Planning specializing in personalized insurance and financial protection solutions. Seeking motivated individuals for career growth and mentorship. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🔒 Insurance Licensed Life and Health Insurance Agent 🔥 16 hours ago Legacy Planning 1 - 10 👥 B2C Website LinkedIn All Job Openings Licensed Life and Health Insurance Agent focusing on identifying client needs and offering tailored insurance solutions. Work remotely with flexible hours and a strong support system. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🔒 Insurance View More Insurance Professional Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs
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Hard Skills & Tools
health insurance billingmedical terminologyclaim processinginsurance eligibility verificationclaims submissionclaims investigationpayer correspondence analysisKPI monitoring
Soft Skills
problem-solvingadaptabilitywritten communicationverbal communicationattention to detailinterpersonal skillsconfidentiality maintenance
Certifications
High School diplomaGED