Quadax, Inc.

Insurance Specialist

Quadax, Inc.  •  Milan, TN / Middleburg Heights, OH (Onsite)  •  3 months ago
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Job 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.

Education/Experience:

  • High School diploma or GED
  • Previous health insurance billing experience
  • Working knowledge of medical terminology
  • 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 knowledge of Microsoft Word and Excel
Quadax, Inc.

About Quadax, Inc.

Quadax is a trusted leader in revenue cycle management (RCM), delivering innovative solutions that help healthcare providers nationwide accelerate payments, boost reimbursements, and improve financial performance. Our proprietary, industry-leading RCM solutions—spanning advanced in-house billing software, outsourced billing services, and integrated clearinghouse technology—deliver actionable insights and measurable results.

RCM/Billing: Quadax solutions are laboratory- and pathology-specific, designed to improve efficiency, reduce denials, and maximize revenue for all laboratory specialties ranging from clinical to esoteric testing, and DME companies. Services include our integrated clearinghouse to further optimize results. Our experienced teams provide the expertise and support needed to drive better financial outcomes.

EDI Clearinghouse: Our smart platform combines AI-powered analytics, machine learning, and cutting-edge clearinghouse technology to give healthcare organizations greater control over claims, denials, appeals, audits, and revenue integrity. We serve hospitals, labs, and providers nationwide, leveraging long-standing relationships with thousands of payers and decades of industry experience to drive superior outcomes.

What sets us apart? Nearly 40% of our team brings more than a decade of RCM experience, ensuring clients receive personalized support and strategic guidance every step of the way.

At Quadax, your success is our priority. As a trusted RCM leader with over 50 years of experience, deep industry expertise, and advanced technology, we deliver comprehensive, end-to-end solutions that achieve results. Our proven approach is designed to optimize financial performance, improve operational efficiency, and drive better outcomes for healthcare organizations nationwide.

Discover why leading healthcare organizations rely on Quadax for smarter revenue cycle solutions at Quadax.com.

Industry
Healthcare & Social Services
Company Size
501-1,000 employees
Headquarters
Cleveland , Ohio
Year Founded
1973
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