Quadax

Quadax is an information technology and services company that is headquartered in Cleveland, Ohio. Since 1973, the company has been delivering solutions and sof

Insurance Specialist – Temp

InsuranceInsuranceFull TimeRemoteSeniorCompany Site

Location

Ohio

Posted

2 days ago

Salary

Not specified

Seniority

Senior

High SchoolEnglish

Job 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.

Job 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)

Related Categories

Related Job Pages

More Insurance Jobs

Assurant logo

Bilingual Licensed Insurance Representative

Assurant

Helping people thrive in a connected world.

Insurance2 days ago
Full TimeRemoteTeam 10,001+Since 1892H1B Sponsor

Deliver exceptional customer service by resolving inquiries related to policies, billing, endorsements, and claims with professionalism and empathy.

Remote
Fusable logo

Sales Director – Insurance

Fusable

Stronger data. Smarter decisions. Greater impact.

Insurance2 days ago
Full TimeRemoteTeam 201-500

Sales Director driving strategic growth and managing sales for Fusable's Risk Intelligence division

North Carolina
Full TimeRemoteTeam 1,001-5,000

The specialist will conduct insurance verification via portals, phone, and tools for new and ongoing patients, and initiate and obtain prior authorizations for required home health services like nursing, therapy, and aide services. They must accurately maintain eligibility and authorization information in the HCHB system in real-time while collaborating with various teams to resolve authorization issues promptly.

Homecare HomebaseMedicareMedicare AdvantageCommercial InsuranceAuthorization ProcessesEligibility VerificationPayer PortalsAvailityWaystarPalmettoHIPAA ComplianceMS OfficeExcel
United States
MyPlanAdvocate logo

Case Management Analyst

MyPlanAdvocate

We're here to advocate for you!

Insurance2 days ago
Full TimeRemoteTeam 51-200H1B No Sponsor

The Case Management Analyst will own and manage a caseload of in-process Medicare insurance applications by monitoring statuses, communicating potential issues to advocates, and updating policy records in Salesforce. This role involves developing a deep understanding of carrier workflows and collaborating cross-functionally to ensure a smooth enrollment experience for members.

SalesforceCRM reportingMedicare enrollmenthealth insurance operationscarrier back-office platformscase management
United States
$49K / year