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Quadax, Inc.
Quadax, Inc.
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Quadax, Inc. shifoxonalar, laboratoriyalar, shifokorlar guruhlari, uzoq muddat foydalaniladigan tibbiy jihozlar yetkazib beruvchilari va o‘tkir tibbiy yordamdan keyingi xizmat ko‘rsatuvchi tashkilotlar uchun daromadlar aylanishini boshqarishga ixtisoslashgan tibbiy texnologiyalar kompaniyasidir. Uning SaaS mahsulotlari va boshqariladigan xizmatlari hisob-kitob yuritish, talabnomalarni qayta ishlash, rad etilgan talabnomalarni boshqarish, bemorlardan foydalanish imkoniyati va to‘lovlarni qoplash jarayonlarini qo‘llab-quvvatlaydi. Kompaniya iQ platformasi orqali sun’iy intellekt asosidagi tahlil va aqlli avtomatlashtirishni taqdim etadi. Daromadlar aylanishi sohasidagi 50 yildan ortiq tajribasiga tayangan holda, Quadax tibbiy tashkilotlarga to‘lov jarayonlarini yaxshilash, rad etilgan talabnomalarni kamaytirish, pul oqimini mustahkamlash va bemorlar tajribasini yaxshilashga yordam beradi.
LinkedIn
Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariOHOgayoMasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaSug‘urta

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • Full-time remote work

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