Quadax, Inc.
Quadax, Inc.
Quadax, Inc. is a healthcare technology company specializing in revenue cycle management for hospitals, laboratories, physician groups, durable medical equipment providers, and post-acute care organizations. Its SaaS products and managed services support billing, claims processing, denial management, patient access, and reimbursement, with AI-powered analytics and intelligent automation through its iQ platform. Drawing on more than 50 years of revenue cycle expertise, Quadax helps healthcare organizations improve payment workflows, reduce claim denials, strengthen cash flow, and support a better patient experience.

Remote Medical Claims Insurance Specialist in Ohio

Quadax, Inc. is hiring a full-time remote Insurance Specialist in Ohio to process medical insurance claims. The role focuses on coverage verification, claim rejection resolution, corrections, and payer issue monitoring.

Description

  • Track claim status through payer portals and follow-up calls to confirm adjudication outcomes and related details
  • Contact payers and patients to resolve rejected claims, contest processing decisions, and confirm coverage
  • Confirm patient eligibility and coordination of benefits
  • Examine and interpret correspondence from insurance payers
  • Investigate claims rejected through electronic submission systems
  • Resubmit claims with corrections, to secondary insurers, or to revised addresses
  • Investigate requests to retract insurance payments
  • Track payer patterns and escalate claim-processing concerns to management
  • Achieve or surpass established productivity and quality KPI targets
  • Complete additional duties as assigned

Requirements

  • High school diploma or GED
  • Prior experience in health insurance billing
  • Working knowledge of medical terminology
  • Strong problem-solving ability and flexibility in response to changing policies, regulations, and procedures
  • Excellent written and verbal communication skills
  • Exceptional attention to detail
  • Ability to work effectively with others
  • Ability to protect confidential information
  • Proficiency with computers, including Microsoft Word and Excel

Benefits

  • Full-time remote work

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