Insurance Specialist-Temp - Cleveland - Quadax

    Quadax
    Quadax Cleveland

    1 week ago

    Description

    Key Responsibilities:

    • Follow up on claim status via insurance portals or calls to payers to determine adjudication and details.
    • Call payers and patients as needed 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.
    Required Education/Experience:
    • High School diploma or GED
    • Strong problem-solving skills and the 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 basic knowledge of Microsoft Word and Excel
    Preferred Education/Experience
    • Previous health insurance billing experience
    • Working knowledge of medical terminology
    Equal Opportunity Employer

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    Insurance Specialist-Temp

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