Insurance Specialist

Quadax, Inc.

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

Posted 10/8/2026full-timeRemote • Ohio • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

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 KnowledgeProblem-Solving SkillsWritten And Verbal Communication SkillsAttention To Detail

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claim Status Follow-UpInsurance Eligibility VerificationClaim Rejection InvestigationClaims Submission CorrectionsPayer Correspondence Analysis

Soft Skills

AdaptabilityEffective InteractionConfidentiality Maintenance

Tools & Technologies

Microsoft WordMicrosoft Excel

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Payer Trends MonitoringClaim Processing IssuesCoordination Of BenefitsInsurance Payment Retractions

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

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

Benefits

Comp & perks

Full-time remote work