Quadax, Inc.

Insurance

• Follow up on claim status via insurance portals or calls to payers to determine adjudication and details.
• Call payers and patients as needed to resolve claim rejections, challenge processing decisions, and verify insurance coverage.
• Verify patient insurance eligibility and coordination of benefits.
• Review and analyze payer correspondence.
• Investigate electronic claim rejections.
• Submit claims for processing corrections, to secondary insurances, or to updated addresses.
• Research requests for insurance payment retractions.
• Monitor and notify management of payer trends and/or claim processing issues.
• Meet or exceed productivity and quality KPI goals.
• Perform other duties as assigned.

Insurance Specialist

Billing Specialist

• 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 or work list that one of their patients is entering 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.
• Comply with all Patient Billing process, system, and documentation SOPs (Standard Operating Procedure).
• Meet patient 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

Patient Billing Specialist

Backend Engineer

• Lead the design and development of modern, service‑oriented applications
• Evaluate and recommend emerging technologies
• Shape user stories through requirements analysis and estimation
• Establish and uphold architecture standards, design patterns, and coding practices
• Develop new services using C# and .NET Core
• Conduct code reviews to ensure quality and consistency
• Collaborate with architects, DevOps, and cross‑functional teams
• Mentor developers and help grow their technical skills

Lead C#.NET Developer

Account Manager

• Act as a conduit between clients and Quadax
• Assist clients with setup, implementation, and daily operations of the Quadax electronic claims processing software called Xpeditor
• Train staff on product features and everyday use
• Read multiple reports to identify billing trends for clients
• Present clients with additional products and features
• Contact different insurance payers regarding medical claims
• Assist clients in writing custom data converts and testing upon implementation
• Other duties as assigned

Account Representative – Medical EDI Software

Insurance Specialist – Temp

• Act as a conduit between clients and Quadax
• Assist clients with setup, some implementation, and daily operations of the Quadax software
• Train staff on product features and everyday use
• Read reports and identify billing trends for clients
• Present clients with additional products and features
• Contact different insurance payers to research reasons why claims did not pay
• Assist clients in writing custom data converts and testing upon implementation
• Other duties as assigned

Insurance Specialist

Patient Billing Specialist

Lead C#.NET Developer

Account Representative – Medical EDI Software

Insurance Specialist – Temp

Account Representative – Medical RCM EDI Software