Quadax Benefits Overview

Supervise accounts receivable and receipts teams supporting client month-end close, payment reconciliation, audits, quality metrics, staffing, training, and performance management. Develop procedures, trackers, action plans, and process improvements; coordinate global and domestic teams; communicate client process changes; oversee department projects; and ensure productivity, accuracy, continuity, and compliance with company procedures.

Analyze healthcare eligibility data, develop and maintain Microsoft SQL Server queries, stored procedures, and reports, and establish eligibility connections. Identify trends and improvement opportunities in large datasets while collaborating with analysts to document standards, best practices, and tool usage. The role requires SQL proficiency, programming experience, analytical problem-solving skills, strong communication, attention to detail, and confidentiality.

Manages and optimizes payer EDI transactions, insurance plan configurations, eligibility verification, claims, remittance, and claim-status workflows. Investigates transactional issues, evaluates payer and regulatory changes, validates processing controls, and implements process improvements to improve reimbursement outcomes. Provides subject matter expertise on EDI standards, collaborates with internal teams and clients, and represents the division in cross-functional insurance meetings.