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ID 2022-2407
- 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-OH-Middleburg Heights
Category
Customer Service/Support
ID 2022-2402
- Troubleshoot and resolve application issues and defects.  - Develop new enhancements/features to the existing software applications - Keep software up to date with framework and library updates  - Analyze requirements to assist in the creation, grooming, and estimating of user stories as part of the Agile process - Define and enforce the use of design patterns and coding standards - Build and enhance new services and applications using C#, .NET Core and other technologies - Participate in code reviews to ensure code quality - Collaborate with others to ensure best practices are followed - Mentor junior developers
Job Locations
US
Category
Information Technology
ID 2022-2401
- 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
Administrative/Clerical
ID 2022-2400
- Develop and execute against the continuous integration, testing, deployment, and monitoring toolset roadmap. Maintaining and administering these pipeline tools and environments as needed. - Understanding of SAFe5, Scrum, and Kanban as work management strategies. - Flexibility to seamlessly interact with various on premise and cloud automation services and platforms. - Scripting and coding using various programming and markup languages associated with our DevOps toolchain. - Proficient with infrastructure management processes and tools. - Writing detailed specifications and documentation. - The ability to automate performance assessment and create real-time feedback loops. - Experience with application performance monitoring solutions. - Maintain and administer the developer collaboration and Agile tool suite. - Develop and execute against the load and stress test toolset roadmap. Maintaining and administering the tools and environments that support this capability. - Administer and maintain the API Management toolset and environments. - Administer and maintain the ETL toolset and environments. - Ensure operational excellence and be able to report against key performance indicators. - Ensure adherence to uptime Service Level Agreements by supporting site reliability requirements.
Job Locations
US
Category
Information Technology
ID 2022-2399
- 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
ID 2022-2397
- Resolves administrative problems by analyzing information, identifying and communicating solutions. - Maintains rapport with Global managers by arranging a touchpoint cadence, researching and developing new methods, setting priorities, resolving problem situations. - Works directly with both global and domestic team members to provide information through email, tele-conferences, and go-to-meetings. Answers questions promptly, follows-up on open action items as needed. - Maintains continuity of work operations by documenting and communicating needed actions to management; discovering irregularities; determining continuing needs. - Communicates client process changes as they are provided by the Client Service team to the respective Global team members.  Ensure that process changes are documented and received and read by the team members. - Works with global and domestic management to ensure success of the global teams. Point person on administrative items such as portal access and reporting. - Point of contact for internal audit team. Manage global calibration meeting schedule, attend calibration meetings, and communicate results with both global and domestic audit leads. - Additional/other projects as assigned by Global and/or Production leads
Job Locations
US-OH-Middleburg Heights
Category
Management
ID 2022-2393
- 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
Customer Service/Support
ID 2022-2392
- 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-Middleburg Heights
Category
Customer Service/Support
ID 2022-2390
- Perform general clerical duties to include but not limited to photocopying, faxing, mailing, filing and making telephone calls. - Prepare correspondence for mailing. - Prepare or update worksheets. - Entry of data into company systems. - May undertake special projects assigned by manager or supervisor. - Other duties as assigned. - Separating, Identifying & categorizing different types of medical documents.
Job Locations
US-OH-Middleburg Heights
Category
Administrative/Clerical
ID 2022-2389
- Coordinate and supervise department work assignments and staffing levels. - Conduct scheduled staff meetings and other activities. - Participate in client meetings, as needed, for discussion on process flows and billing issues. - Complete month-end established responsibilities and spreadsheets. - Conducts monthly quality audits on staff to ensure they are following the client SOPs - Contact insurance companies to resolve unusual or difficult claim issues. - Recommend and coordinate process improvement initiatives based on results of process analysis. - Supervise staff in company policies and processes by coaching, counseling, disciplining employees, as well as appraising job contributions. - Ensure staff members are kept up to date on policy changes and procedure updates related to the company and the client billing policies. - Develop staff in resolving complex billing issues and other questions. - Conduct employee performance reviews for the staff. - Review employee timesheets and monitor overtime. - Accomplish billing team departmental objectives by meeting expectations/goals. - Monitor and serve on committees and teams as department representative. - Assist department manager(s) in planning and organizing tasks and resources in a manner which results in achievement of strategic goals and objectives. - Represent the department in the absence of the Manager. - Other duties as assigned  
Job Locations
US-OH-Middleburg Heights
Category
Administrative/Clerical
ID 2022-2386
- 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 2022-2385
- Define testing methods and create test plans for new application development and modernization projects. - Ensure that software adheres to company standards. - Work with both front-end UI and backend APIs. - Work with the customers, users, and other stakeholders to identify test cases. - Work with application developers to fix and problems discovered. - Document test results and respond to questions from business and IT team members. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Information Technology
ID 2022-2384
- Communicate directly with a diverse client base as well as internal employees in order to provide support of various applications, operations, and processes. - Gather, analyze, and interpret detailed information for requests/issues from end-users to be utilized for resolution or to be documented for proper escalation. - Use of internal Help Desk trouble ticketing application to log, track, and escalate user issues including: - Portal registration approval, deactivation, and troubleshooting - Operator code setup, grant additional access, reset passwords - Intake client/employee inquiries of various kinds and determine proper routing for resolution - Monitoring of interface files - Troubleshoot and report system performance issues - Applications break/fix triage and resolution communication - Unplanned outage and schedule downtime notifications - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Customer Service/Support
ID 2022-2383
- 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
Customer Service/Support
ID 2022-2382
  - Assist clients with managing the medical billing and application customization aspects of a new implementation. - Work with the managers and billers of a hospital billing department to identify differences with how the Quadax proprietary medical claims processing software (i.e. Xpeditor) edits claims versus the hospital’s current EDI system. - Customize software and training individuals in large group settings. - Responsible for secondary billing and remittance overview. - Assist Account Representatives in handling issues that impact their clients. - Assist in research and problem solving and suggest a course of action. - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Customer Service/Support
ID 2022-2379
Job Locations
US
Category
Management
ID 2022-2376
- Assist patients with inquiries regarding their accounts. - Obtain or confirm accurate billing information and distribute information to appropriate departments - Processing credit card payments for various clients - Follow-up with all patient inquiry calls left on voicemail or requested by the Client and/or Production Department. - Update patient demographic information. - Document all calls into the HARP system detailing how they responded to the patient inquiry. - Assist other departments in between phone calls with various assignments as needed. - Other duties as assigned
Job Locations
US-OH-Middleburg Heights
Category
Other
ID 2022-2375
- Administration of VMware, vSphere and ESXi - Administration of server technologies including the management of physical servers and operating systems, primarily Cisco UCS - Administration of Microsoft Azure environments, Azure Active Directory, Teams, OneDrive, etc. - On-premise Active Directory management and administration - O365 Email Administration in hybrid configuration - Veeam backup administration; file and server restoration - General administration duties related to Corporate Storage Arrays, Faxing, and FTP Collaborate with our development teams for optimizing infrastructure and deployment of new technologies - Participate in the development and implementation of automated system configuration tools to ensure consistent builds within the environment - Assist in monthly maintenance and patching of environment - Administration of monitoring/alerting solutions, (OpManager, Nagios experience a plus) - Participate in escalated incident management and solving problems in a cross-team environment - On call support of escalated issues in the physical/virtual server environment - Coordinate and Implement change management requests - Troubleshooting, identifying and documenting root cause - Other projects and tasks as required - Project planning, management, and reporting.  Projects may vary in complexity. - Windows server administration, including Domain Controllers, GPO, DNS, DHCP - Perform server upgrades by developing, testing, evaluating, and installing enhancements while following corporate change control and quality control standards - Create and revise system documentation and procedures - Available for after-hours support and system upgrades as required - Other duties as assigned.
Job Locations
US-OH-Middleburg Heights
Category
Information Technology
ID 2022-2374
- Troubleshoot and resolve application issues and defects.  - Develop new enahncements/features to the existing software applications - Keep software up to date with framework and library updates  - Analyze requirements to assist in the creation, grooming, and estimating of user stories as part of the Agile process - Define and enforce the use of design patterns and coding standards - Build and enhance new services and applications using C#, .NET Core and other technologies - Participate in code reviews to ensure code quality - Collaborate with others to ensure best practices are followed - Mentor junior developers
Job Locations
US
Category
Information Technology
ID 2022-2371
- 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