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Career Opportunities at Quadax

Quadax, a leader in business services and technologies for the healthcare industry, offers a variety of career paths that are both challenging and rewarding. We strive to attract, hire, and retain an exceptional team of people. As a growing company, our staffing needs change often. Seize the opportunity to grow with us—and put your passion for excellence to work.

Quadax is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion, handicap, national origin, military or veteran status, pregnancy, or any condition prescribed by law.

Quadax does not hire persons who use tobacco products, including cigarettes, cigars, pipes or smokeless tobacco.  Applicants will be required to provide a written certification regarding their status as nonusers of tobacco products, and will be subject to testing to confirm that status if hired.

How to apply


Appeals Specialist

The Appeals Specialist acts as a patient advocate by identifying the path needed to obtain the maximum reimbursement under the patient's insurance plan and working with the patient to get the denial overturned. The position involves responding to second- and third-level denials by submitting appeal letters and required documentation to insurance companies within the appeal filing time limits, as well as submitting external review requests and required documentation to the state within the filing time limits.

Key Responsibilities

  • Review assigned denials and EOBs for appeal filing information and gather any missing information
  • Review case history, payer history, and state requirements to determine appeal strategy
  • Obtain patient and/or physician consent when required by the insurance plan or state
  • Obtain 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 second-, third-, and external-level appeal process, system, and documentation SOPs
  • Meet appeal filing deadlines by completing assigned work list tasks in a timely matter and reporting to management when assistance is needed
  • 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

Qualifications

  • High school diploma or GED
  • Minimum of four years health insurance billing experience
  • Knowledge of managed care industry, including payer structures, administrative rules, and government payers
  • Past leadership experience
  • Proficient in all aspects of reimbursement
  • Detail-oriented
  • Excellent written and verbal communication skills
  • Able to establish priorities, work independently, and proceed with objectives without supervision
  • Proficient in using Microsoft Excel and Word

Benefit Investigation Representative - Prior Authorization

The Benefit Investigation Representative - Prior Authorization assists in obtaining prior authorization from an insurance company on behalf of the client and the patient in order to make sure a medical procedure is covered by the patientís insurance plan. This involves contacting insurance companies and physician practices.

Key Responsibilities

  • Review case and insurance coverage information to customize the content of the call to the insurance company or physicianís office
  • Provide insurance company representatives with an overview of the medical services for which coverage is being requested
  • Answer questions regarding the reimbursement process and route testing and treatment questions to the appropriate people
  • Fill out statement of medical necessity forms based on client or insurance requirements and fax to the ordering physicianís office for completion
  • Follow up with the insurance company or physicianís office based on pending documentation or pending approval of prior authorization
  • Meet benefit investigation process standards by completing assigned tasks in a timely manner and reporting to management when assistance is needed
  • Participate in team meetings by sharing the details of cases worked

Qualifications

  • High school diploma or GED
  • Minimum of two years customer service experience
  • Knowledge of health insurance terminology and the billing process
  • Attentive to details
  • Superior customer service skills
  • Excellent written and verbal communication skills
  • Proficient in using Microsoft Excel and Word
  • Ability to multi-task, establish priorities, and work independently

Call Center Supervisor

The Call Center Supervisor provides guidance to and encourages the development of staff members.

Key Responsibilities

  • Supervises staff in company policies and processes
  • Schedules department work assignments, training, and other activities
  • Provides continued training to call center representatives
  • Conducts phone audits and coaches staff on the results
  • Recommends and coordinates needed changes based on process analysis
  • Develops and prepares weekly reports for VP of Production and Manager
  • Conducts employee performance reviews and handles performance issues
  • Other duties as assigned

Qualifications

  • Associate’s degree or equivalent job experience
  • Strong customer service background
  • Excellent written and verbal communication skills
  • Ability to train staff
  • Ability to establish priorities, work independently, and proceed with objectives without supervision
  • Proficient in using Microsoft Excel and Word

Systems Support Technician

Hours: MondayĖFriday 8:00 AM to 5:00 PM. Weekend/evening projects and troubleshooting as required.

The Systems Support Technician supports PC and printer requirements, installs upgrades, and monitors PC performance and applications in a Windows environment.

Key Responsibilities

  • Maintain PCs and printers
  • Troubleshoot, diagnose, and repair PC hardware and minor server hardware problems
  • Troubleshoot and diagnose printer hardware, minor network connectivity, OS, and software-related problems
  • Install and set up PCs and printers
  • Respond to help desk events in a timely manner
  • Evaluate Windows environment performance issues, including availability and utilization
  • Plan and execute the selection, installation, configuration, and testing of equipment

Qualifications

  • Associate’s degree in Computer Science or related field preferred, or equivalent job experience
  • Knowledge of Windows PC operating systems
  • Proficiency with Microsoft Office products
  • Working knowledge of Adobe products
  • A+ certification a plus
  • Valid driverís license and reliable transportation
  • Ability to lift 30 lbs without assistance
  • Ability to work on multiple tasks with little or no supervision
  • Good communication skills

Project Manager - Reimbursement Support

In addition to managing projects for Quadax's Reimbursement Support service line, the Project Manager performs data analysis on third-party reimbursement trends and internal production processes, and participates on process improvement teams.

Key Responsibilities

  • Manage various projects associated with the growth of the Quadax Reimbursement Support service line. Project work will be both client-specific and related to internal process analysis.
  • Analyze data generated by Quadax healthcare billing applications to identify payer reimbursement trends that will assist our clients' managed care teams with payer contracting efforts and assist production operations management
  • Participate on process improvement teams by documenting the current state of workflow processes and developing and documenting future processes and standard operating procedures (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

Qualifications

  • Four-year or advanced college degree in Healthcare Administration, Accounting, Information Technology, or other related field
  • Minimum of four years experience in business, healthcare administration, or a related healthcare industry; experience in professional services (accounting, consulting); or comparable education
  • Some working knowledge of managed care industry considered a plus, including payer structures, administrative rules, and government payers and reimbursement
  • Experience working on project teams following formal project management methodologies
  • Demonstrated experience interfacing with customers or internal clients
  • Detail-oriented and logical thinker with strong analytical skills
  • Ability to establish priorities, work independently, and proceed with objectives with minimal supervision
  • Advanced Microsoft Excel skills; working knowledge of Microsoft Project and Visio

Account Executive

The Account Executive is the Quadax liaison to assigned clients. This role involves coordinating ongoing client support and service and managing client accounts receivable.

Key Responsibilities

  • Conduct regular status meetings with clients
  • Prepare status reports and document issues, action items, client initiatives, and status of projects
  • Conduct month-end financial and operations review with clients
  • Act as a liaison between clients and Quadax production and technical staff
  • Manage issues to achieve mutual resolution
  • Monitor and report client satisfaction with service performance and escalate issues as appropriate
  • Respond to ad hoc client requests such as reports on demand
  • Prepare analysis and periodic reporting on service components for clients
  • Manage client-related projects
  • Document requests for new reports, configuration updates, and software enhancements
  • Provide support for perspective client sales
  • Direct new client implementation and training

Qualifications

  • Four-year degree in Business, Healthcare Administration, Information Technology or other related field. Advanced degree a plus
  • Experience in client relationship management
  • Project management experience
  • Proficient in using Microsoft Excel, Word, PowerPoint and Visio
  • Process analysis experience, ideally using Visio
  • Ability to establish priorities, proceed with objectives, and work independently
  • Working knowledge of healthcare billing and reimbursement, government payer, and managed care industry a plus
  • Experience with medical accounts receivable management and medical billing software a plus

Programmer

Quadax, Inc., is seeking a programmer/analyst to work on systems that support our rapidly growing healthcare revenue cycle management and reimbursement support solutions. This role involves development and maintenance of interfaces with new and existing client systems and our applications, which run on Windows and HP-UX Servers.

Key Responsibilities

  • Programming
  • Systems analysis and design
  • Client implementation and interaction
  • Troubleshooting and debugging
  • Support

Qualifications

  • Bachelor's degree required, with a degree in Computer Science, Information Systems, or MIS preferred
  • Experience in structured programming a plus
  • Time management and multitasking ability
  • Outstanding analytical and problem solving skills
  • Ability to develop, test, and document software solutions
  • Experience using Java or .NET
  • Familiarity with SQL (MS SQL Server preferred)
  • Healthcare knowledge is a plus
  • Excellent written and verbal communication skills
  • Ability to work with all levels of management

Project Manager - Production

The Project Manager evaluates and assists with projects related to client production. The Project Manager also works on internal projects as assigned.

Key Responsibilities

  • Assist Production team in preparing analyses related to outsourcing refinement, client accounts receivable, process flows, productivity standards, documentation of controls, and standard operating procedures
  • Develop and implement production dashboards
  • Meet with client personnel  
  • Participate in process improvement projects, including analysis of current workflows and documentation
  • Troubleshoot issues as needed
  • Interface with Quadax Production and Support staff in gathering information for assigned projects
  • Communicate project results with Production management team
  • Assist Production management team with ad hoc projects as needed

Qualifications

  • Bachelor’s degree
  • Minimum of 3-5 years experience in a project management or analyst position
  • Excellent written and verbal communication skills
  • Proficient in using Microsoft Excel; working knowledge of MS Project and Visio a plus
  • Ability to multitask
  • Excellent organizational skills
  • Laboratory and/or medical billing experience a plus

Insurance Specialist

The Insurance Specialist provides extensive support service covering all aspects of claims management, including review, initiation, completion, submission, and direct follow-up to the appropriate third-party payers.

Key Responsibilities

  • Follow up with and resolve outstanding accounts receivable balances
  • Respond to payer correspondence
  • Submit appeals for denied claims
  • Process requests for insurance payment retractions
  • Research and resolve overpayments
  • Investigate electronic claim rejections
  • Undertake special projects as assigned

Qualifications

  • High school diploma or GED
  • Knowledge of third-party billing rules and regulations
  • Working knowledge of coding and medical terminology
  • Excellent written and verbal communication skills
  • Strong problem-solving skills and ability to adapt to changes in policies, regulations, and procedures
  • Attention to detail
  • Ability to interact effectively with others
  • Ability to consistently meet production and quality goals
  • Proficient in using Microsoft Excel and Word


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