What are the responsibilities and job description for the Insurance Specialist position at Quadax?
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.
