Insurance Specialist

Quadax, Inc.

. Follow up on claim status via insurance portals or calls to payers to determine adjudication and details .

Posted 10/14/2026full-timeMiddleburg Heights • Ohio • United StatesMid-LevelSenior💰 $19 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in health insurance billing processes, including claim status follow-up, eligibility verification, and problem resolution. Proficient in analyzing payer correspondence and maintaining high productivity and quality standards.

Highest-signal resume keywords

Health Insurance Billing ExperienceMedical Terminology KnowledgeClaim Status Follow-UpProblem-Solving SkillsMicrosoft Word and Excel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim Processing CorrectionsInsurance Eligibility VerificationPayer Correspondence AnalysisElectronic Claim Rejection InvestigationInsurance Payment Retraction Research

Soft Skills

Strong Problem-Solving SkillsExcellent Written and Verbal CommunicationHigh Attention to DetailEffective Interaction with OthersAbility to Maintain Confidentiality

Industry Keywords

Payer Trends MonitoringKPI Goals AchievementCoordination of BenefitsClaim Rejection ResolutionOhio Residency

About the role

Key responsibilities & impact

Follow up on claim status via insurance portals or calls to payers to determine adjudication and details
Call payers and patients to resolve claim rejections, challenge processing decisions, and verify insurance coverage
Verify patient insurance eligibility and coordination of benefits
Review and analyze payer correspondence
Investigate electronic claim rejections
Submit claims for processing corrections, to secondary insurances, or to updated addresses
Research requests for insurance payment retractions
Monitor and notify management of payer trends and/or claim processing issues
Meet or exceed productivity and quality KPI goals
Perform other duties as assigned
Complete a three-month onsite training period, five days per week, before transitioning to remote work

Requirements

What you’ll need

High School diploma or GED
Previous health insurance billing experience
Working knowledge of medical terminology
Strong problem-solving skills and ability to adapt to changes in policies, regulations, and procedures
Excellent written and verbal communication skills
High attention to detail
Ability to interact effectively with others
Ability to maintain confidentiality
Proficient computer skills with knowledge of Microsoft Word and Excel
Must reside in Ohio