Quadax, Inc.

• 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.

Role Description Quadax, an award-winning leader in healthcare revenue cycle technology, is seeking a Data Science Analyst to join our Team and help us create the best Revenue Cycle Optimization solution in the industry. You’ll use your knowledge of healthcare revenue cycle business objectives to identify necessary data (SQL, Excel, Snowflake), apply appropriate analytics (BI tools, Azure Foundry) and derive strategic insights to achieve the desired business benefits. You’ll work closely with product managers, other data scientists, engineers, and business analysts to ensure clear definition of all requirements and translating them into value. You’ll leverage data insights to optimize the revenue cycle product design and user experience of our Platform. We use PowerBI for visualization, Snowflake for data management & sharing, and Azure Foundry for all modeling. Local candidates preferred. Open to remote employees ONLY in: OH (if residence is outside a reasonably commutable distance), PA, MI, IN, KY, WV, WI, AL, TN, GA, FL, TX, MO, SD, NC. Responsibilities - Ability to analyze complex data sets and create actionable insights - Uses knowledge of business objectives, strategies, and needs to identify opportunities where data can be leveraged to achieve the desired business benefits - Understands current data context, processes and availability, and how current data processes and existing data can be leveraged to achieve the desired benefits - Prepares and analyzes data, including locating, profiling, cleansing, extracting, mapping, importing, transforming, validating, or modeling - Applies query, data exploration and transformation, basic statistical methods, and visualization techniques to create business insights or improve data quality - Performs validation and testing to confirm the accuracy of the information created - 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 - Facilitates the design and development of product features - Interviews subject matter experts, customers, and other stakeholders to identify and clarify requirements - Establishes rapport with stakeholders and ensures that their questions and concerns are clearly documented - Presents on-time delivery of requirements and user stories/specifications - Supports the creation and maintenance of project documentation - Writes user stories and technical requirements for projects including complex business rules, logic flow diagrams, conditional logic, use cases, and specific workflows Qualifications - Healthcare revenue cycle experience with hospitals, providers, and/or other healthcare delivery organizations - 2+ years of experience working in Data Science - Professional experience with, and more than a basic understanding of AI technology - Proficient in building process flow diagrams and data mapping - Experience with agile development and software development life cycle (SDLC) processes - Proficiency with SQL programming - Extensive experience working in a BI environment and familiarity with data warehouses - Extensive experience in gathering and documenting business requirements - Strong business acumen and data analysis skills and the ability to identify customer needs, analyze them against available solutions, and identify gaps - Interprets and presents data analysis results including explanation of statistical and financial techniques used, assumptions made and summary of results - Excellent written and verbal communication skills

• 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.

Oversee client data interfaces and coordinate integration implementations, while analyzing interface-related issues and participating in client meetings to support enhancements and project prioritization. Communicate effectively with clients and...

• 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.

• 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.

• Act as a conduit between clients, who bill medical insurance claims electronically, and Quadax. • 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.

Location: Middleburg Heights, OH Summary: Quadax, an award-winning leader in healthcare revenue cycle technology, is seeking a Product Operations Manager to build and run the operating system of Product Management. In this role, you will standardize and manage the processes, tooling, and rhythms that power our product lifecycle—intake, planning, release readiness, metrics, and cross-functional coordination—so Product Managers can focus on customer problems, strategy, and outcomes. You will partner with product, application development, client success, compliance, security, and sales to deliver operational excellence that improves velocity, quality, and transparency across our portfolio. This role is designed to support product delivery to enable defined outcomes. Local candidates preferred. Visa sponsorship not available. Open to remote employees ONLY in: OH (if outside commutable distance), PA, MI, IN, KY, WV, WI, AL, TN, GA, FL, TX, MO, SD, SC, NE, and NC Responsibilities: - Establish and continuously improve Quadax’s product operating model spanning intake → prioritization → planning → execution → release → post-launch review. - Own portfolio reporting and KPI instrumentation; support definition of success metrics, standardize reporting, and drive data-driven decisions. - Run centralized demand/intake and triage where appropriate, standardize request templates, facilitate prioritization forums, and communicate decisions. - Support release management and launch readiness processes (UAT orchestration, checklists, runbooks). - Define and maintain processes for implementation and support, ensuring smooth transitions to Operational teams. - Administer and optimize Product tools and drive backlog hygiene, acceptance criteria standards, and artifact quality. - Facilitate portfolio reviews, highlight risks/interdependencies, and proactively unblock execution. - Partner with Compliance/Security to embed regulatory requirements such as HIPAA into operating procedures. - Collaborate with Product Marketing and Sales on launch plans, enablement, and client communication. - Drive continuous improvement through retrospectives, best practice pilots, and operational coaching. Qualifications: - Bachelor’s degree in Business, Operations, Engineering, or related field; advanced degree a plus. - 5+ years in Product Operations, Program/Project Management, or Product Management within SaaS or healthcare environments. - Demonstrated success with intake systems, portfolio dashboards, and cross-functional release processes. - Proficiency with product/work management tooling and strong analytical skills. - Excellent communication and facilitation skills with ability to influence across teams. - Knowledge of data privacy and healthcare compliance practices such as HIPAA. - Travel <5% typical. - Comfortable speaking in public to small and large groups - Strong attention to detail - Ability to set and follow priorities and effective time management

Provide technical leadership in designing and developing new products, evaluate emerging technologies, analyze requirements for user stories, and mentor team members to enhance their skills and knowledge.

• Act as a conduit between clients and Quadax • 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 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