Jobs at Quadax

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.

Processes insurance denials and submits timely appeals, external review requests, documentation, and appeal letters. Reviews EOBs, payer histories, case requirements, and state rules to develop appeal strategies. Coordinates consent, medical records, forms, phone hearings, and communications with patients, physicians, insurers, and state agencies. Maintains productivity and quality standards, meets filing deadlines, reports denial trends, answers calls as needed, and supports special projects.

Provides second-level technical support for EDI remittance processing. Researches and resolves transmission issues, monitors payer remits, maintains remittance configurations and mappings, supports testing of enhancements and bug fixes, configures client reports, and analyzes ANSI 835 data and enhancement requests. Collaborates with payers, clients, call center personnel, and internal teams while maintaining confidentiality and prioritizing work in a fast-paced environment.

Test and validate Power BI reports and dashboards, verify data quality and ETL processes between sources and Snowflake, create and execute test plans/cases, document defects, validate security/role access, and collaborate with BI developers, data engineers, and analysts in an Agile environment.

Manage RemitMax implementations and ongoing remittance management clients, coordinate with customers and partners, deliver training, support integration/configuration/testing, monitor adoption and performance, maintain project documentation, and perform QA for releases.

Serve as primary marketing contact for Laboratory Billing & Revenue Cycle Services. Coordinate annual marketing calendar, execute integrated campaigns, create content (blogs, case studies, newsletters, webinars), support sales with collateral and proposals, and manage event planning and post-event engagement to drive lead generation and customer engagement.