Top 28 Quadax Jobs | SimplyHired

Appeals Specialist
Quadax, Inc. —Middleburg Heights, OH
- $19 - $21 an hour
- Remote
- Mid-level
- High school diploma or GED
- 4 years
Insurance Specialist
Quadax, Inc. —Middleburg Heights, OH
- Remote
- Research
- High school diploma or GED
- Medical terminology
10d
Senior Appeals Specialist
Quadax, Inc. —Middleburg Heights, OH
- Remote
- Mid-level
- High school diploma or GED
- 1 year
Data Science Analyst
Quadax, Inc. —Middleburg Heights, OH
- Hybrid work
- Computer science
- Azure
- Computer Science
Receipt Poster
Quadax, Inc. —Middleburg Heights, OH
- $18 - $20 an hour
- Monday to Friday
- Basic math
- Office
- High school diploma or GED
Account Representative (Medical RCM EDI Software)
Quadax, Inc. —Madison, WI
- Remote
- Public speaking
- Research
- Bachelor's degree
Account Representative (Medical EDI Software)
Quadax, Inc. —Jefferson City, MO
- Remote
- Public speaking
- Research
- High school diploma or GED
EDI Account Representative
Quadax, Inc. —Middleburg Heights, OH
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
System Administrator
Quadax, Inc. —Middleburg Heights, OH
- Weekends as needed
- Hybrid work
- Computer science
- Computer Science
- 5 years
Quick Apply
Legacy Software (Speedware) Developer
Quadax, Inc. —Middleburg Heights, OH
- $75,000 - $85,000 a year
- Hybrid work
- Computer science
- Azure
- Computer Science
Account Representative- Client Services
Quadax, Inc. —Grand Rapids, MI
- Online Application
- Customer service
- Public speaking
- Research
- Paid holidays
- Disability insurance
Quick Apply
Healthcare Payer Enrollment Coordinator
Quadax —Middleburg Heights, OH
- $60,000 - $70,000 a year
- Hybrid work
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
HRIS Manager
Quadax, Inc. —Middleburg Heights, OH
- Hybrid work
- Microsoft Word
- Computer literacy
- Mid-level
Project Analyst
Quadax, Inc. —Middleburg Heights, OH
- $50,000 - $60,000 a year
- Hybrid work
- Writing skills
- Mid-level
- Office
.NET Developer 4
Quadax, Inc. —Middleburg Heights, OH
- $95,000 - $105,000 a year
- Full-time
- Hybrid work
- Computer science
- Azure
- Computer Science
Senior Integration Developer
Quadax —Middleburg Heights, OH
- Full-time
- Computer science
- Azure
- Computer Science
Client Integration Specialist
Quadax, Inc. —Middleburg Heights, OH
- Hybrid work
- System design
- Mid-level
- Office
ECM Delivery Manager
Quadax —Middleburg Heights, OH
- Hybrid work
- Computer science
- Computer Science
- Mid-level
IT Product Manager - Contract Management
Quadax, Inc. —Middleburg Heights, OH
- Hybrid work
- 5 years
- Mid-level
- Office
Administrative Assistant (Temporary) - 3 month assignment.
Quadax, Inc. —Middleburg Heights, OH
- Temporary
- Computer literacy
- Writing skills
- Basic math
5d

I want to receive the latest job alert for Quadax

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Quadax jobs near

Appeals Specialist

Quadax, Inc. -
Middleburg Heights, OH

Apply Now

Job Details

$19 - $21 an hour

Qualifications

High school diploma or GED
Productivity software

Full Job Description

Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within the appeal filing time limits. Submit external review requests and required documentation to the state within the filing time limits. Act as a patient advocate by identifying the path needed to obtain the maximum reimbursement under the insurance plan and work with the patient to get the denial overturned.

Remote: Although this position is listed as remote, the training period requires you working onsite 5 days/week for 3 months at our Middleburg Heights, OH or Milan, OH facilities before transitioning to remote.

Responsibilities:

Review assigned denials and EOB’s for appeal filing information. Gather any missing information.
Review case history, payer history, and state requirements to determine appeal strategy.
Obtain patient and/or physician consent and medical records when required by the insurance plan or state.
Gather and fill out all special appeal or review forms.
Create appeal letters, attach the materials referenced in the letter, and mail them.
Coordinate phone hearings with the insurance company, patient, and physician.
Comply with all 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP’s.
Meet appeal filing deadlines by completing assigned worklist tasks in a timely matter and/or reporting to management when assistance is needed to complete the tasks.
Report all insurance company or state requirements and denial trend changes to the Team Leader and Reimbursement Manager.
Participate in team and appeal meetings by sharing the details of cases worked.
Act as a backup on answering incoming telephone calls as needed.
May undertake special projects assigned by the Team Leader or Reimbursement Manager.
Ability to meet predetermined Productivity Goals based on the level of Appeal.
Ability to meet Quality Standard in place (90% or greater).
Other duties as assigned.

Qualifications:

High School diploma or GED
Minimum of four years health insurance billing experience
Knowledge of managed care industry including payer structures, administrative rules, and government payers
Proficient in all aspects of reimbursement
Ability to maintain confidentiality
Detail oriented
Possess excellent written and verbal communication skills
Able to establish priorities, work independently, and proceed with objectives without supervision.
Proficient in using Microsoft Excel and Word

Hourly Rate $19 to $21 an hour.

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 (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

Quadax jobs

Appeals Specialist

Insurance Specialist

Senior Appeals Specialist

Data Science Analyst

Receipt Poster

Account Representative (Medical RCM EDI Software)

Account Representative (Medical EDI Software)

EDI Account Representative

System Administrator

Legacy Software (Speedware) Developer

Account Representative- Client Services

Healthcare Payer Enrollment Coordinator

HRIS Manager

Project Analyst

.NET Developer 4

Senior Integration Developer

Client Integration Specialist

ECM Delivery Manager

IT Product Manager - Contract Management

Administrative Assistant (Temporary) - 3 month assignment.

I want to receive the latest job alert for Quadax

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected