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ID 2022-2487
- Input and audit contract information in our internal contract management system - Monitor and report on pending contract renewals - Assist with review and remedy to issues arising from disparities in contract applications and invoice application - Understand contract preparation and act as back-up for performing this duty - Participate in annual review and audit of third party license obligations - Monitor account closure activity - Prepare and send correspondence commemorating Go Live activity as it correlates to contract terms - Monitor invoices (particularly first invoices) for correctness and contract compliance - Attend department and division meetings as required - Other duties as assigned - Perform background diligence on prospective clients
Job Locations
US-OH-Middleburg Heights
Category
Administrative/Clerical
ID 2022-2486
- Review and document client-approved requests and determine if request can be coded within XpressBiller - Code requested rules in XpressBuilder - Thoroughly test newly coded rules for functionality and accuracy - Work across departments with clients, account representatives, and other team members to provide suggestions on how to fulfill client’s needs within the parameters of XpressBiller software. - Create and maintain XpressBiller internal documentation of new functionalities, tips, tricks, and helpful hints to be used internally as a training reference. - Work across departments to assist account representatives in providing excellent customer service to Quadax clients.  
Job Locations
US-OH-Middleburg Heights
Category
Information Technology
ID 2022-2485
- Review and submit claims based on payer guidelines and within the filing time limits. - Obtain updated or missing claim information from physicians and/or patients. - Complete assigned claim and follow-up worklist tasks. - Provide insurance companies with the test descriptions, results, medical records, tax information, and licenses when requested. - Call insurance companies to determine the status of claims submitted. - Comply with all Billing and Follow-up Worklist process, system, and documentation SOPs. - Meet claim filing and follow-up deadlines by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the tasks. - Report all changes to insurance company claim processing requirements to the Billing Manager. - Participate in team meetings by sharing the details of cases worked. - Other duties as assigned.
Job Locations
US
Category
Administrative/Clerical
ID 2022-2484
Quadax (Middleburg Hts, OH) seeking Business Intelligence Developer responsibilities include design, develop and maintain dashboards using the Sisense BI platform; develop data models for dashboards and analytics; query and analyze data stored in flat files, SQL Sever and Hadoop; perform data analysis, mapping and validation across various data sources; and design, develop and maintain ETL processes from various data sources. Requires bachelor’s degree in Management Information Systems, Data Science, IT or related (foreign equivalent accepted) and 2 years’ experience in software engineering including SQL, SSIS, and SSRS. Salary $63,149. Send cover letter and resume to E. Matson, 7500 Old Oak Blvd, Middleburg Heights, OH 44130
Category
Information Technology
ID 2022-2482
- Review assigned denials and EOB’s for appeal filing information. Gather any missing information. - Review case history, payer history, and state requirements to determine appeal strategy. - Obtain patient and/or physician consent and medical records when required by the insurance plan or state. - Gather and fill out all special appeal or review forms. - Create appeal letters, attach the materials referenced in the letter, and mail them. - Coordinate phone hearings with the insurance company, patient, and physician. - Comply with all 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP’s. - Meet appeal filing deadlines by completing assigned worklist tasks in a timely matter and/or reporting to management when assistance is needed to complete the tasks. - Report all insurance company or state requirements and denial trend changes to the Team Leader and Reimbursement Manager. - Participate in team and appeal meetings by sharing the details of cases worked. - Act as a backup on answering incoming telephone calls as needed. - May undertake special projects assigned by the Team Leader or Reimbursement Manager. - Ability to meet predetermined Productivity Goals based on the level of Appeal. - Ability to meet Quality Standard in place (90% or greater). - Other duties as assigned.
Job Locations
US
Category
Administrative/Clerical
ID 2022-2480
- Review assigned denials and EOB’s for appeal filing information. Gather any missing information. - Review case history, payer history, and state requirements to determine appeal strategy. - Obtain patient and/or physician consent and medical records when required by the insurance plan or state. - Gather and fill out all special appeal or review forms. - Create appeal letters, attach the materials referenced in the letter, and mail them. - Coordinate phone hearings with the insurance company, patient, and physician. - Comply with all 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP’s. - Meet appeal filing deadlines by completing assigned worklist tasks in a timely matter and/or reporting to management when assistance is needed to complete the tasks. - Report all insurance company or state requirements and denial trend changes to the Team Leader and Reimbursement Manager. - Participate in team and appeal meetings by sharing the details of cases worked. - Act as a backup on answering incoming telephone calls as needed. - May undertake special projects assigned by the Team Leader or Reimbursement Manager. - Ability to meet predetermined Productivity Goals based on the level of Appeal. - Ability to meet Quality Standard in place (90% or greater). - Other duties as assigned.
Job Locations
US
Category
Administrative/Clerical
ID 2022-2479
- Review assigned denials and EOB’s for appeal filing information. Gather any missing information. - Review case history, payer history, and state requirements to determine appeal strategy. - Obtain patient and/or physician consent and medical records when required by the insurance plan or state. - Gather and fill out all special appeal or review forms. - Create appeal letters, attach the materials referenced in the letter, and mail them. - Coordinate phone hearings with the insurance company, patient, and physician. - Comply with all 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP’s. - Meet appeal filing deadlines by completing assigned worklist tasks in a timely matter and/or reporting to management when assistance is needed to complete the tasks. - Report all insurance company or state requirements and denial trend changes to the Team Leader and Reimbursement Manager. - Participate in team and appeal meetings by sharing the details of cases worked. - Act as a backup on answering incoming telephone calls as needed. - May undertake special projects assigned by the Team Leader or Reimbursement Manager. - Ability to meet predetermined Productivity Goals based on the level of Appeal. - Ability to meet Quality Standard in place (90% or greater). - Other duties as assigned.
Job Locations
US
Category
Administrative/Clerical
ID 2022-2476
- 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
Category
Administrative/Clerical
ID 2022-2475
- Provide second-level software support for EDI clients and staff. - Research network issues, program errors, and Windows errors relating to Xpeditor Server performance. - Assist with the testing of Xpeditor enhancements and bug fixes that are part of Xpeditor releases. - Map client claim files in order to load into Xpeditor. - Establish custom edits/converts using Xpressbiller software. - Modify Xpeditor Reports per client requests. - Assist with identifying product shortcomings and possible enhancements. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Information Technology
ID 2022-2474
- Develop a strong understanding of the Quadax complex database structures, including applications and data warehouses. Consult with internal departments on data needs, and work with IT to provide new data and resolve data integrity issues.  Validate client data to ensure accuracy and escalate data discrepancies. - Become a subject matter expert on reporting and dashboards, utilizing the Sisense dashboard tool connected to data warehouses. - Create reports and dashboards in an easy to understand summary format with drill-down capabilities to communicate information to decision makers. Match the most effective graphs, charts, and tables to display the data for an intuitive user interface.  Design reports and dashboards in a manner that provides business insight. - Contributing member of the Business Intelligence Team, responsible for providing Sales and clients with insight into industry trends, CPT reimbursement, denials rates, etc. Understand differences between clients in order to run peer comparisons.  Analyze a client’s data to identify trends and then communicate these trends to the business unit. - Manage reporting projects to ensure timely completion that meets deadlines. - Participate in internal and client meetings to assist business units and Client Services on specialized reporting needs. - Troubleshoot problems with reports, including discrepancies with the data, and include subject matter experts to lead an issue to resolution. - Document complex reporting solutions by stating report assumptions about the data to ensure proper understanding of the reports. - Other duties as assigned
Job Locations
US-OH-Middleburg Heights
Category
Customer Service/Support
ID 2022-2470
- 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
Category
Administrative/Clerical
ID 2022-2469
- 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.  - 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.
Category
Customer Service/Support
ID 2022-2468
- 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.  - 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
Category
Customer Service/Support
ID 2022-2463
- Uses SQL and Excel to analyze data and create actionable insights; Snowflake experience a bonus. - Uses knowledge of business objectives, strategies, and needs to identify opportunities where data can be leveraged to achieve the desired business benefits. - Interprets results of analyses, identifies trends, and issues, and develops recommendations to support business objectives. - Communicates complex information so that it is easy to understand and influences others to take action based on the useful information provided. - Participates in stakeholder interviews to gather business requirements. - Establishes rapport with stakeholders and ensure that their questions and concerns are clearly documented. Analyzes data generated by Quadax healthcare billing applications to identify and research payer trends to improve reimbursement and assist our clients in securing insurance coverage for complex medical laboratory testing. - Performs monthly accounts receivable analysis to ensure timely processing of insurance claims, appeals on denied claims, and key performance metrics such as days in accounts receivable.  
Category
Accounting/Finance
ID 2022-2461
- Management of the revenue cycle operation for the RCS division of the Company.   - Meet, report, and if necessary, remediate KPIs and SLAs.  - Coach, develop, and hold staff accountable for production deliverables.  - Develop and mentor RCS management team members.  Identify and work with emerging leaders from the production ranks.  - Present operational updates to leadership teams and Clients  - Find optimal balance between customized and universal workflows.  - Liase with the robotic team to streamline operational activity.  - Improve efficiency through standardization of workflows, automation, and resource optimization.  - Coordinate with HR/Recruiting for staffing, comp, and production objectives.  - Develop expert knowledge of Quadax revenue cycle systems, processes, and products.  - Continually develop cost effective processes while maintaining high quality results.  - Communicate effectively at all levels of the organization, including executives, department leads, production teams, and 3rd party partners.   - Effectively lead teams in the US and abroad.   - Collaborate with team members in person and use on-line technology to connect on a virtual level. Occasional travel (1-2x/year) may be required. Travel may include international visits.   
Job Locations
US-OH-Middleburg Heights
Category
Management
ID 2022-2460
- 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-OH-Dayton
Category
Customer Service/Support
ID 2022-2451
- Review assigned denials and EOB’s for appeal filing information. Gather any missing information. - Review case history, payer history, and state requirements to determine appeal strategy. - Obtain patient and/or physician consent and medical records when required by the insurance plan or state. - Gather and fill out all special appeal or review forms. - Create appeal letters, attach the materials referenced in the letter, and mail them. - Coordinate phone hearings with the insurance company, patient, and physician. - Comply with all 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP’s. - Meet appeal filing deadlines by completing assigned worklist tasks in a timely matter and/or reporting to management when assistance is needed to complete the tasks. - Report all insurance company or state requirements and denial trend changes to the Team Leader and Reimbursement Manager. - Participate in team and appeal meetings by sharing the details of cases worked. - Act as a backup on answering incoming telephone calls as needed. - May undertake special projects assigned by the Team Leader or Reimbursement Manager. - Ability to meet predetermined Productivity Goals based on the level of Appeal. - Ability to meet Quality Standard in place (90% or greater). - Other duties as assigned.
Job Locations
US
Category
Administrative/Clerical
ID 2022-2449
- 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  
Category
Administrative/Clerical
ID 2022-2445
Key Responsibilities: - Follow-up with and resolve outstanding accounts receivable balances. - Call payers and patients as needed to resolve claim rejections. - Respond to payer correspondence. - Draft appeals for denied claims. - Research requests for insurance payment retractions. - Research overpayments and communicate to Treasury for resolution. - Monitor and notify management of payer trends and/or claim processing issues. - Investigate electronic claim rejections. - Research claim information through web portals. - Other duties as assigned.
Category
Administrative/Clerical
ID 2022-2443
Key Responsibilities: - Follow-up with and resolve outstanding accounts receivable balances. - Call payers and patients as needed to resolve claim rejections. - Respond to payer correspondence. - Draft appeals for denied claims. - Research requests for insurance payment retractions. - Research overpayments and communicate to Treasury for resolution. - Monitor and notify management of payer trends and/or claim processing issues. - Investigate electronic claim rejections. - Research claim information through web portals. - Other duties as assigned.
Category
Administrative/Clerical