Insurance Claims Specialist

15 hours ago


Middleburg Heights, Ohio, United States Quadax Full time

Job Summary: We are seeking an Insurance Claims Specialist to join our team at Quadax. As an Insurance Claims Specialist, you will be responsible for resolving outstanding accounts receivable balances, following up with payers and patients, and responding to payer correspondence.

Key Responsibilities:

  • Follow up with payers and patients to resolve outstanding accounts receivable balances.
  • Call payers and patients as needed to resolve claim rejections.
  • Respond to payer correspondence, including drafting appeals for denied claims.
  • Research requests for insurance payment retractions and overpayments.
  • Monitor and notify management of payer trends and claim processing issues.
  • Investigate electronic claim rejections and research claim information through web portals.

Requirements:

  • 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 and interact effectively with others.
  • Strong problem-solving skills and ability to adapt to changes in policies, regulations, and procedures.
  • High attention to detail and ability to consistently meet production and quality goals.
  • Proficient computer skills with knowledge of Microsoft Word and Excel.


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