Insurance Specialist
Quadax, Cleveland, OH, United States
Insurance Specialist
Job Category: Medical Billing Requisition Number: INSUR001594
Posted: February 24, 2026
Full-Time
Remote
Middleburg Heights, OH 44130, USA +1 more locations
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
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Job Category: Medical Billing Requisition Number: INSUR001594
Posted: February 24, 2026
Full-Time
Remote
Middleburg Heights, OH 44130, USA +1 more locations
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
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.