Demo

Insurance Specialist

Quadax, Inc.
Cleveland, OH Full Time
POSTED ON 3/30/2025
AVAILABLE BEFORE 4/30/2025

Job Description

Job Description

Key Responsibilities :

  • Follow-up with and resolve outstanding accounts receivable balances.
  • Call payers and patients as needed to resolve claim rejections.
  • Respond to payer correspondence.
  • Draft appeals for denied claims.
  • Research requests for insurance payment retractions.
  • Research overpayments and communicate to Treasury for resolution.
  • Monitor and notify management of payer trends and / or claim processing issues.
  • Investigate electronic claim rejections.
  • Research claim information through web portals.
  • Other duties as assigned.

Education / Experience :

  • High School diploma or GED
  • Previous experience working with insurance companies over the phone.
  • Knowledge of third-party billing rules and regulations.
  • Ability to maintain confidentiality.
  • Working knowledge of coding and medical terminology.
  • Excellent written and verbal communication skills.
  • Strong problem solving skills and the ability to adapt to changes in policies, regulations, and procedures.
  • High attention to detail.
  • Ability to interact effectively with others.
  • Ability to consistently meet production and quality goals.
  • Proficient computer skills with knowledge of Microsoft Word and Excel.
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