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ID 2021-1863
- Follow-up with and resolve outstanding accounts receivable balances. - Respond to payer correspondence. - Draft appeals for denied claims. - Research requests for insurance payment retractions. - Research overpayments and communicate to Treasury for resolution. - Investigate electronic claim rejections. - Research claim information through web portals. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Customer Service/Support
ID 2021-1860
- Be a guardian and advocate for the Quadax brand. - Ensure consistent brand experience across all markets for all product lines. - Ensure external corporate partners adhere to our branding strategies and respective content is compliant with developed policies. - Direct the development and execution of integrated marketing initiatives that help achieve key business goals. - Work collaboratively with team members in Marketing, IT, Sales, Client Services, and Leadership to ensure alignment with goals, objectives, and priorities. - Ensure marketing campaigns and programs are aimed at reaching sales targets. - Ensure Sales is able to communicate the value proposition of Quadax’s products and develop the sales tools including external presentations and training materials that supports the selling process. - Recommend and execute the best strategy, media and materials to communicate marketing and sales messages that clearly articulate the value and positioning of products and services. - Lead and manage development of programs and tactical assets including: sales collateral (including case studies, white papers, proposal development, etc.), presentations, tradeshows, social site presence/initiatives, video, press releases and related media efforts, company website content, and corporate events. - Obtain customer/prospect and other input to ensure awareness of the market challenges and problems that buyers need solved and translate into content and positioning. - Develop and execute marketing plans to support the launch of new products, services and capabilities. - Accurately budget, forecast, and track expenses related to all marketing activities. - Track and analyze competitors’ marketing strategies, tactics, positioning, products and capabilities to ensure effective and differentiated positioning for products/services. - Manage relationships and contracting with outside vendors as necessary. - Other duties as assigned.  
Job Locations
US-OH-Middleburg Heights
Category
Marketing
ID 2021-1856
The MIT will gain knowledge and experience required for promotion to management positions under direction of experienced personnel by performing various assignments throughout a rotation of a variety of divisions within the organization.   - Receive classroom instruction in subjects related to their rotational experience. - Attend lectures, watch guest speakers, and create projects, oral presentations, and complete learning checks. - Assist with established accounts to gain familiarity. - Adhere to guidelines of a formal written training program. - Attend periodic evaluations. - Partner with managers to plan and direct the work of the organization. - Contribute to establishing policies and procedures under the supervision of an assigned mentor. - Achieve a passing score in all areas of the management training program in order to continue in the program. - Receives training and performs duties in several departments such as Finance, Client Services, Sales, Operations, Healthcare Data Solutions and IT. - Learn line and staff functions, operations, management viewpoints, and company policies and practices that affect each phase of the business. - Sets performance goals and objectives with upper management. - Monitors performance progress with management and key trainers. - Observes experienced workers to acquire knowledge of methods, procedures, and standards required for performance of departmental duties. - Receives training in functions and operations of related departments to facilitate subsequent transferability between departments and to provide greater promotional opportunities. - Other duties as assigned.  
Job Locations
US-OH-Middleburg Heights
Category
Human Resources
ID 2021-1851
- Assist Account Executives with their account management activities - Manage client setup customization, application support, and client interfaces - Manage task list for existing clients and new implementations - Perform research for client questions and requests - Communicate resolutions and project status to internal and client stakeholders - Participate in client meetings - Assist/train users on application functionality - Select and analyze management reports - Other duties as assigned
Job Locations
US-OH-Middleburg Heights
Category
Customer Service/Support
ID 2021-1850
- Participate in various projects associated with Quadax’s reimbursement support service line. Project work will be both client-specific and related to internal processes. - Analyze data generated by Quadax healthcare billing applications to identify payer reimbursement trends to assist our clients’ managed care teams with payer contracting efforts, and to assist productions operations management. - Participate on process improvement teams by documenting current state of workflow processes and developing and documenting future state processes and SOPs. - Identify and document business functions for future software enhancements. - Assist Quadax account executives with their account management activities including fulfilling requests for ad hoc reporting using advanced spreadsheet functions such as pivot tables. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Customer Service/Support
ID 2021-1848
What will be my duties and responsibilities in this job? - Achieve desired segment-specific marketing goals and benchmarks by developing and executing marketing plans, programs, campaigns, and supporting content used in both online/digital and offline environments. - Create effective product positioning, value proposition, and messaging for the Laboratory business by gathering market intelligence and actively soliciting input from subject matter experts to understand the core business. - Develop, manage and execute demand generation plans aligned with business goals across the sales organization. - Create programs for all stages of the funnel that includes generating new leads, nurturing them to generate MQLs, creating bottom-funnel programs to convert MQLs to opportunities, provide late-stage opportunity support to help close deals, and developing advocacy programs to achieve high retention. - Own deliverables across the entire marketing funnel, track and optimize performance at each stage in the funnel, and create a predictable and healthy demand engine. - Lead the execution of various marketing campaign tactics including, but not limited to, tradeshows, webinars, pay per click advertising, digital marketing, etc. - Develop a broad range of content in support of lead generation and brand awareness activities in coordination with other team members and our content agency, including case studies, white papers, sales tools, presentations, webinars, and more. - Develop creative lead-generating digital content and campaigns for assigned products and verticals, including creating and maintaining web copy, blogs, and email/newsletter content. - Provide sales support through participation in sales team meetings, coordinating sales trainings, and delivering sales tools such as fact sheets, brochures, playbooks and client-facing presentations that support sales enablement. - Own and communicate marketing results and the overall effectiveness of the campaigns and marketing programs by effectively monitoring and reporting on metrics and taking corrective actions to achieve marketing objectives across the organization. - Work with internal and external stakeholders (including clients and third-party industry partners) to deliver theme-based content that is relevant to key personas. - Research market data and gather competitive information to facilitate positioning and messaging strategies.  
Job Locations
US-OH-Middleburg Heights
Category
Marketing
ID 2021-1846
- Maintain PCs and printers - Evaluate Windows environment performance issues, including reliability, utilization, and availability - Follow change control policies, including testing, workflow, and quality control - Accomplish organizational goals by accepting ownership of new and different requests; explore opportunities to add value to job accomplishments - Respond to requests (ticketing system, phone calls, emails, etc.) in a timely fashion, following through with the customer until completion. - Troubleshoot, diagnose, and repair hardware and software issues on PCs (Desktops and laptops) as well as minor server and network connectivity issues for both local and remote locations - Troubleshoot, diagnose, and resolve Operating System related issues including but not limited to Windows 10, and OSX. - Work alongside vendors and developers to troubleshoot, diagnose, and resolve software-related problems including both in-house and 3rd party applications. - Create and maintain various base images for both desktops and laptops. - Configure and deploy client devices (desktops, laptops, printers, etc) as required, using imaging or management tools when available/applicable - Assist in the research, selection, installation, configuration, and testing of new technologies both hardware and software. - Create and maintain documentation of all IT systems ensuring that information is kept up to date within the environment - Assist the network and infrastructure teams with troubleshooting various issues as well as following through until they are resolved - Work within Active Directory (Computers and Users, DNS, GPOs, etc.) to resolve end user issues as well as conducting routine maintenance. - Follow company policies and procedures in relation to IT security, HIPAA, and PCI compliance best practices. - Other duties as assigned
Job Locations
US-OH-Middleburg Heights
Category
Information Technology
ID 2021-1838
- Work with customers, users, and other stakeholders to identify business needs and create the stories which can satisfy those needs. - Produces clear, detailed documentation to be used by lines of business and IT to build quality business processes and web applications. - Develops clear, traceable requirements using, interviews, document analysis, requirements workshops, surveys, business process descriptions, use cases, scenarios, business analysis and workflow analysis. - Create detailed specifications for application developers. - Work as part of a team contributing to planning, designing, and development of systems and sub-systems. - Present information regarding enhancements, track and respond to questions from business and IT team members. - Gain an understanding of revenue cycle management and use this knowledge to drive system design and implementation decisions. - Partner with test team and assist in the preparation of the testing strategy and testing execution plans to ensure test cases map to requirements. - Collaborate with other analysts to develop and document business analysis best practices, standards, and tool usage. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Information Technology
ID 2021-1835
- Analyze client accounts receivable balances and detail and research reasons for fluctuations and aging issues. - Maintain documentation of procedures for various functions of department. - Analyze process flows to streamline procedures to improve efficiency of department. - Oversee performance of month-end closing procedures and meet month-end closing deadlines and client designated expectations. - Monitor various quality and productivity metrics and address issues identified from the data. - Coordinate and implement solutions from process analysis and general departmental projects. - Supervise staff in accordance with company policies and procedures. - Conduct interviews, hire new staff, and provide employee training. - Coach staff to improve performance, including preparing Coaching Performance Plans - Recommend salary adjustments for approval. - Establish employee goals, conduct periodic employee performance reviews and recommend salary adjustments based on performance. - Maintain staff scheduling to include work assignments/rotations, employee training, employee vacations, employee breaks, overtime assignment and back-up for absent employees. - Participate in client meetings to ensure issues are resolved and new client initiatives are implemented. - Schedule and conduct department meetings to review client issues and initiatives, departmental quality, and productivity metrics and other departmental topics. - Oversee projects specific to the department or division. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Management
ID 2021-1834
- Manage department work assignments and staffing levels. - Manage the operational components of Desktop Support (i.e. KPI’s such as, help desk and employee metrics) - Develop, implement and manage an IT asset management system (hardware/software/licenses) - Conduct scheduled staff meetings and other activities. - Recommend and coordinate process improvement initiatives based on results of process analysis. - Manage staff in company policies and processes by coaching, counseling, disciplining employees, as well as appraising job contributions. - Serve as the principal representative of the end user community and represents its views and changing needs back to IT Operations. - Manage and provide SOC I/II and PCI certification evidence - Monitor and serve on committees and teams as department representative. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Management
ID 2021-1829
- Review case and insurance coverage information to customize the content of the call to the insurance company or physician’s office. - Provide insurance company representatives with an overview of the services in which coverage is being requested in the attempt to obtain prior authorization. - Answer questions regarding the reimbursement process and direct testing specific and treatment questions. - Complete SMN (statement of medical necessity) form based on client or insurance requirements and fax to the ordering physician’s office for completion. - Follow up contact may be needed with the insurance company or physician’s office based on pending documentation or approval. - Meet benefit investigation process standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the task. - Participate in team meetings by sharing the details of cases worked. - Other duties as assigned.
Job Locations
US-OH-Milan
Category
Administrative/Clerical
ID 2021-1821
- Review case history to ensure all means to obtain reimbursement from the insurance company have been completed and verify it is appropriate to move forward with the patient billing process. - Notify the client via email alert that one of their patients is entering into the patient billing process. - Answer questions from the client regarding a patient’s case history. - Call patients for updated insurance information. - Call the patients to offer them financial assistance and payment plans. - Review/approve statement balance. - Send letters and billing statements to the patients. - Send financial assistance applications to patients and process returned financial assistance documents. - Send monthly invoices to the client bill/roster accounts. - Make follow-up calls to the client bill accounts when their payment is past due. - Comply with all Patient Billing and Client Billing process, system, and documentation SOPs. - Meet patient and client billing process time standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the tasks. - Participate in team meetings by sharing the details of cases worked. - Act as backup on answering incoming telephone calls as needed. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Administrative/Clerical
ID 2021-1820
- Maintain/enhance existing software code - Familiar with agile software development methodologies - Troubleshoot issues with existing applications and can identify and document solutions to problems with production applications - Take direction from Programmer/Analyst Lead, Systems Project Manager, System Product Manager, or Systems Manager - Strong problem solving and analytical skills, the ability to think critically and transform abstract concepts into deliverable technical solutions. - Effective communication skills and the ability to communicate with Project Managers, Project Leaders and other members of development team - hp/ux knowledge a plus - Engineer and create clean code that is well tested, working both individually and in small teams - Client implementation - Full ownership and accountability to deliver on agreed upon plans on schedule and to defined quality standard - Troubleshooting and debugging - Interface development, maintenance with new and existing clients, and development stack migration - Peer code review - Tier 3 support - Other duties as assigned
Job Locations
US-OH-Middleburg Heights
Category
Information Technology
ID 2021-1815
- Assist clients with setup, some implementation, and daily operations of the Quadax electronic claims processing software called Xpeditor. - Must be ready and able to train staff (current and new) on product features as well as everyday use. - Read multiple reports and try to identify billing trends for clients. - Present clients with additional products and features. - Contact different insurance payers while researching reasons why medical claims did not pay or pass edits. - Assist clients in writing custom data converts and test these upon implementation. - Other duties as assigned.
Job Locations
US-TN-Nashville
Category
Customer Service/Support
ID 2021-1811
- Answer incoming telephone and email inquiries, providing an outstanding customer experience. - Review case history and insurance notes to provide appropriate information to callers. - Make outbound calls to Physicians, Patients, Parents/Spouse. - Call physicians to obtain information or provide information pertaining to a case or issue. - Communicate results of a benefit investigation to patient and physicians. - Pre-qualify patients for any available financial aid or clearly communicate out of pocket costs. - Respond to inquiries and complete worklist tasks in a timely manner. - Initiate appeals or patient billing process when needed. - Report all insurance company trend changes to the Call Center Supervisor or Manager. - Participate in team meetings by sharing the details of cases worked. - Other duties as assigned by Supervisor or Manager.
Job Locations
US-OH-Middleburg Heights
Category
Administrative/Clerical
ID 2021-1809
- Review case history to ensure all means to obtain reimbursement from the insurance company have been completed and verify it is appropriate to move forward with the patient billing process. - Notify the client via email alert that one of their patients is entering into the patient billing process. - Answer questions from the client regarding a patient’s case history. - Call patients for updated insurance information. - Call the patients to offer them financial assistance and payment plans. - Review/approve statement balance. - Send letters and billing statements to the patients. - Send financial assistance applications to patients and process returned financial assistance documents. - Send monthly invoices to the client bill/roster accounts. - Make follow-up calls to the client bill accounts when their payment is past due. - Comply with all Patient Billing and Client Billing process, system, and documentation SOPs. - Meet patient and client billing process time standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the tasks. - Participate in team meetings by sharing the details of cases worked. - Act as backup on answering incoming telephone calls as needed. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Administrative/Clerical
ID 2021-1806
- Provide Help Desk and phone support for EDI revenue cycle management applications. - Use proprietary ticketing application to log, track, and escalate client’s EDI issues. - Translate, troubleshoot, and triage EDI client issues. - Research, document, and outline technical concerns, edit changes and other conflicts as they arise. - Other tasks as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Customer Service/Support
ID 2021-1805
- The EDI Internal Support Account Representative has an array of responsibilities and, therefore, should be comfortable with a fast-paced work day that often includes:  multi-tasking, prioritizing, training, remaining organized, problem solving with attention to detail, and the ability to keep calm with a positive attitude while working independently, with clients, and/or as a team.    - This individual not only reviews and assists the work queues of Account Reps known to be out of the office while onsite at clients, but they also serve as an overall lifeline for the entire Client Experience team.  Because of this, punctuality is a must.  It is important to be on time for work (8:00 am – 5:00 pm EST), meetings, and following through on a commitment.    - In between normal daily tasks, the Account Representative contacts & approves or rejects new Quadax Portal login requests appropriately and timely.  They will also cover phones for the Client Support Center (CSC) as needed.    - The Internal Support Account Representative will periodically conduct new Xpeditor Hosted remote installs (including any additional add-on products purchased at the time of the new Xpeditor sale).  Within 24-48 business hours after the remote/phone install has been completed, the Rep would document and summarize all training activity within an Account Management Activity Report (AMAR), and then submit the report through SharePoint.    - Like most departments within EDI, the Internal Support Account Representative is also responsible for creating & submitting a weekly report.  Additionally, Internal Support assists in researching and creating training material for the EDI Client Experience team (as assigned).  They might even be called upon to provide a training session based upon their findings.  Another project that the Internal Support Account Representative assists with is helping to maintain and organize SharePoint’s EDI Document Library. This requires an ongoing review of reference material, the proposal of new ideas for updates, applying updates as approved, and then posting these documents within the Library.     - Internal Support Account Representatives attend not only their own weekly team meetings, but also their assigned teams’ meeting, general Client Experience EDI meetings, etc.  Quality listening, quality communicating (hand-written, as well as verbally through phone conversations and in person), and following directions toward common Quadax goals with a positive, professional attitude are a must.  Idea generating, creativity, and public speaking are all helpful ingredients that aid in the success of an Internal Support Account Representative.  As comfort levels and experience continue to grow, one may eventually serve as a mentor to newly hired Client Experience employees and/or CSC Reps as called upon (which is often a fun and very rewarding experience).
Job Locations
US-OH-Middleburg Heights
Category
Customer Service/Support
ID 2021-1801
- Post payments from bank, credit card, and client listing to patient accounts receivable balances. - Post contracted and negotiated adjustments when applicable. - Determine the cause of credit balances and make appropriate adjustments to resolve any discrepancies. - Process refunds for patients or insurance companies, including preparation of refund voucher. - Balance all weekly and monthly receipts journals. - Responsible for Receipt Staff Follow Up worklist based on assigned condition codes. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Administrative/Clerical
ID 2021-1798
- Review patient medical record and payer medical policies to determine validity of denials. - Execute phone calls to payers to challenge denials and request re-processing where denials are invalid. - Submission of and follow-up on payer reconsideration requests; providing additional challenges to payers. - Recognize and report payer trends to Management and Client. - Create detailed spreadsheets as requested by Management. - Complete payer projects as requested by Client or Management. - Research payer medical policies and insurance plan types to insure up-to-date information is on file. - Review assigned denials and EOBs for appeal filing information. Gather any missing information. - Review case history, payer history, and state requirements to determine verbal challenge and appeal strategy. - Gather and fill out all special appeal or review forms. - Create appeal letters, attach the materials referenced in the letter, and mail them. - Comply with Appeal or Insurance processes, system, and documentation SOPs. - Participate in team and appeal meetings by sharing the details of cases worked. - Act as a backup on additional production based work lists, as needed. - Ability to meet predetermined Productivity Goals - Ability to meet Quality Standard in place (90% or greater). - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Administrative/Clerical