Summary: The EDI Transmissions team supports the external communications with payers and clients. It is critical to the Claims Management process, which makes Quadax a leader in the Revenue Cycle Management software and services segment. Come join our growing team, which supports these critical processes. This position is a unique mix of transmissions technical knowledge, programming skills and client focused support.
Local candidates preferred - 4 days onsite per week after initial 100% onsite period (approximately 3 months). Visa sponsorship not available.
If needed, ONLY able to hire remote candidates living in: OH (outside commutable distance), PA, MI, IN, KY, WV, TN, GA, FL, TX, MO, WI, NE, SD, SC, or NC.
Key Responsibilities:
- Develop and maintain applications for transmitting data to and from payers and clients.
- Develop and maintain the Quadax claim processing system.
- Develop and maintain logic and algorithms for cleansing and preparing claim data prior to transmission
- Develop and maintain IBM Sterling Integrator (GenTran) processes and maps.
- Monitor the transmission processes that occur each day validating the success or fix and resend failed transmissions.
- Setup remittance files for downloading and processing.
- Setup eligibility payers for processing real-time transactions.
- Research client/payer tickets via our Help Desk system.
- Contact payers to verify a transmission or support a client’s transactions.
- Research emails and payer web sites for new information related to transmissions.
- Setup new connection to payers
- Adapt to new technologies as Quadax transforms it's platforms
Education / Experience:
- Associates degree preferred
- Programming skills required (C# and VB.net)
- SQL
- Knowledge of IBM Sterling Integrator a plus
- Knowledge of Selenium a plus
- Knowledge of EDI (ANSI 837, 835, 270/271, etc.) a plus
- Willing to learn and adapt to industry/technology changes
- Strong problem solving skills
- Strong computer skills
- Excellent verbal and written communication
- Ability to work in a fast paced environment
- Strong attention to detail
- Ability to set priorities
- Ability to maintain confidentiality
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.
Top Skills
What We Do
Quadax is a healthcare revenue cycle technology and services company focused on making the business of healthcare run better. Quadax enables clients to collect more and enhance visibility into their business, allowing them to focus on their role in providing quality healthcare.
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