Jobs at Quadax

Analyzes healthcare revenue cycle and accounts receivable data to identify payer reimbursement trends and revenue opportunities. Performs root cause analysis, recommends corrective actions, tracks reimbursement improvements, evaluates client KPIs, and prepares reports and presentations for clients, account executives, and management. Uses Excel, Power BI, SQL, and other tools to create analyses and collaborates with Business Intelligence on reporting enhancements.

Develop and maintain Power BI dashboards, reports, scorecards, data models, and analytical solutions for healthcare revenue cycle operations. Gather requirements, write and optimize SQL, validate data, resolve discrepancies, and deliver actionable financial and operational insights. Collaborate with leadership, technical teams, internal stakeholders, and clients while managing reporting projects, UAT, enhancements, automation, benchmarking, reimbursement analysis, and trend analysis.

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.

The Receipt Poster will manage patient accounts by posting payments, resolving discrepancies, processing refunds, and balancing receipts journals.

Maintain and support the HRIS (UKG), build and distribute standard and ad hoc HR reports, analyze HR data to inform workforce decisions, and partner with HR, Payroll, Finance, IT, and vendors on enhancements. Develop reports, dashboards, support integrations, assist with upgrades/testing, create documentation and training, respond to end-user inquiries, and support compliance audits.

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.

Review denied claims and EOBs, gather documentation, create and submit appeal letters and external review requests within filing deadlines. Coordinate hearings, obtain consents and records, report trends, meet productivity and quality targets, and support patients and providers to overturn denials.

The Client Integration Specialist manages client data integrations, oversees testing and documentation, communicates with clients, and coordinates projects to enhance software interfaces.

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.

Prepare and submit insurance appeals and external review requests within filing deadlines. Review denials, gather records and consents, create appeal letters, coordinate hearings, track payer/state requirements, meet productivity and quality targets, and act as a patient advocate to maximize reimbursement.

Lead product management for healthcare revenue cycle solutions, focusing on contract management, feature prioritization, and cross-company initiatives. Collaborate with stakeholders and drive product adoption while managing vendor relationships.

Manage and follow up on medical insurance claims via payer portals and calls, verify patient eligibility and coordination of benefits, investigate and correct electronic claim rejections, review payer correspondence, submit corrected or secondary claims, monitor payer trends, and meet productivity and quality KPIs.

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.