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

Account Executive

• Initiate cold lead activities to generate interest in the Quadax product set and determine whether prospects meet our lead criteria.
• Penetrate new accounts at the Director and C-suite level of a respective market to close new business in support of RCM sales revenue targets.
• Lead and participate in initial sales calls, proposal development, sales presentations, and final contract negotiations.
• Properly document required information and coordinate next steps with internal Quadax team(s).
• Utilize a strong consultative approach in selling solutions by listening, understanding and mapping the right Quadax solution set to each prospective client's unique needs.
• Perform various tasks in a timely manner within company’s CRM software to effectively track next steps and document all activities and information associated with each prospect.
• Collaborate with marketing to maximize our lead generation and nurturing activity to increase coverage of Quadax's RCM solutions to a national footprint in predefined market categories.
• Establishing and expanding our brand throughout the Healthcare industry in your territory; positioning yourself as a trusted partner and advisor to your clients.
• Coordinate on-site and remote meetings, including setup of conference calls and web presentations, demos, travel, and other activities as needed.
• Assist with compiling draft responses to RFPs (Request for Proposals), RFI (Request for Information) and proposal generation during the sales process.
• Capture, document, provide input to RCM sales challenges, and provide feedback regarding market dynamics and competitive intelligence as directed.
• Other duties as assigned.

Insurance Specialist

Patient Billing Specialist

Healthcare Revenue Cycle Sales Executive – Level I