Insurance Specialist

Quadax, Inc.; Middleburg Heights (OH); Remote; USD 26,000 - 30,000; Full time

Job summary

Quadax, Inc. is seeking a detail-oriented claims verifier in Ohio. The role involves following up on claim status, communicating with payers and patients, and verifying insurance eligibility.

You will review payer correspondence and address claim rejections while maintaining high accuracy and confidentiality. The ideal candidate has a high school diploma, prior billing experience, strong problem-solving skills, and proficient Word/Excel abilities.

Qualifications

• High School diploma or GED required.
• Prior health insurance billing experience preferred.
• Strong problem-solving abilities and adaptability to policy changes.
• Excellent written and verbal communication skills.
• High attention to detail and ability to maintain confidentiality.
• Proficient in Microsoft Word and Excel.

Responsibilities

• Follow up on claim status via insurance portals or calls to payers to determine adjudication and details.
• Call payers and patients to resolve claim rejections and verify coverage.
• Verify patient insurance eligibility and coordination of benefits.
• Review and analyze payer correspondence.
• Investigate electronic claim rejections and submit corrections.
• Monitor payer trends and notify management of issues.
• Meet or exceed productivity and quality KPI goals.
• Perform other duties as assigned.

Skills

Health insurance billing experience

Problem-solving

Written communication

Verbal communication

Attention to detail

Confidentiality

Microsoft Word & Excel

Education

High School diploma or GED

Tools

Microsoft Word

Excel

Job description

Remote: Although this position is listed as remote, the training period requires you working onsite 5 days/week for 3 months at our Middleburg Heights, Ohio facility before transitioning to remote. Due to business requirements, only applicants residing in Ohio will be considered.

Key Responsibilities:

• 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.

Education/Experience:

• 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

Salary Range: $19-$22 per hour

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.