Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our Clinic AR Excellence team to fill the role of AR Specialist Profee Follow up. We are a 100% remote team supporting our Hospital and Physician clients across the United States! See us at www.quadristeam.com We are looking for high performing, passionate and results driven team members to join our group. Location: REMOTE - Work from Home Opportunity Ideal candidate will reside in PST, MST or CST time zones Job FOCUS: This position is responsible for Billing, Re-Billing, Post-payment and Account Follow-up and/or grievance preparation of assigned Client EMR Accounts Receivable. The responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and other insurance groups. Partners with other team members and health plans to facilitate the appropriate and prompt payment of claims. This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision and values by representing the company in a caring and professional manner. Primary / Essential Expectations For Success: The Primary responsibilities and essential job duties effectively and efficiently performed include but are not limited to the following: BILLING - Reviews and/or scrubs final billed initial claims for accuracy and completeness prior to submitting to payer - Calculates Tier, Outlier, DRG and/or other Fee Schedule based reimbursement - Submits electronic and/or hard copy claims with any attachments as per the contract timely filing criteria - Documents all account activity in the hospital system and The Q with clear and concise notes INSURANCE FOLLOW-UP - Within appropriate timeframes, contact the health plan by phone or website to determine status of claim - Documents all follow-up actions in the hospital account notes and database and sets up account for additional review based on client expectations for follow-up of unresolved accounts POST PAYMENT REVIEW - Researches and validates the paid or partially paid claim status is in accordance with the expectations outlined in the client contract agreement - Deliberately and thoroughly reviews any denied, dis-allowed, or non-covered claims / charges and determines accuracy based on contract language - Resolves any technical issues when warranted with payer - Follows client specific procedures to request adjustments and refunds - Prepares appeal and necessary documentation for authorization, coding, level of care and/or length of stay denials - Follow guidelines for prioritization and timely filing deadlines Physical / Mental Demands, Environment: - Prolonged periods of sitting at a desk and working on a computer - Must be able to lift 15 pounds at one time - Must be able to structure your home office to ensure patient information is secure meeting the regulatory expectations Skills Needed to Be Successful: - Maintains compliance with regulations and laws applicable to job - Professional level of communication with video, phone and email - Ability to effectively prioritize the work to meet deadlines and expectations - Meets the quality and productivity measures as outlined by Quadris - Brings positive energy to work - Uses critical thinking skills - Being present and focused on assigned tasks and eliminates distractions - Being a self-starter - Ability to work independently and within a team atmosphere Core Talent Essentials: - High School diploma or equivalent - 2+ years previous experience in healthcare revenue cycle management - Ability to work independently and within a team atmosphere - Advanced proficiency of CPT and ICD-10, and full-scope revenue cycle management framework - Self-motivated and passionate about our mission and values of quality work - Must have professional level skills in MS products such as Excel, Word, Power Point. - Proficient application of business/office standard processes and technical applications Certifications: - Active national certification CRCR through Healthcare Finance Management Organization (HFMA), or can test successfully for the certification within 6 months from hire date Quadris is an Equal Employment Opportunity employer. Any offer of employment is contingent upon a criminal background check, previous employment verification and references, following all federal and state regulations. Quadris Team is a participant of eVerify.

• Perform ongoing demands analysis to adapt and optimize insurance coverage. • Negotiate terms and conditions with insurance providers to secure the best coverage and rates. • Provide expert advice on insurance-related clauses. • Assess clients’ insurance needs and recommend appropriate coverage options. • Assist internally with the application process and ensure documentation is completed accurately. • Handle insurance claims from initial reporting to final settlement. • Stay updated on industry trends and regulatory changes. • Conduct risk assessments and provide recommendations for risk management strategies. • Prepare and present detailed reports on insurance coverage, claims status, and risk management activities to senior management.

• Responsible for all collection functions for hospital and physician services • Account resolution, which includes reviewing accounts • Following up with Medi-Cal and various insurance companies on claim status • Gathering and submitting any missing information • Rebilling, appeals, and billing out secondary electronic or paper claims • Provide customer service to various healthcare contract customers • Prepare, research and collect from Medi-Cal and various contracted health insurance payers • Research remits and Explanation of Benefits (EOBs) for complete accurate payments or denials • Provide or arrange for additional information when needed • Submit corrected claims or appeals • Request appropriate adjustments, when required • Identify items that require client assistance • Gather payor trends and provide feedback • Other duties as assigned

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We are seeking a motivated and results-driven Life Insurance Sales Team Manager to lead and grow a high-performing remote sales team. This role combines hands-on sales production with team leadership, recruitment, and performance management. - Recruit, onboard, and develop a team of life insurance sales professionals - Provide ongoing coaching, mentorship, and performance feedback - Foster a collaborative, accountability-driven team culture - Implement and execute sales strategies to exceed individual and team targets - Analyze performance metrics to identify trends, opportunities, and areas for improvement - Lead by example by actively engaging with clients and closing sales - Ensure a high standard of service and professionalism across all client interactions - Support team members in managing complex sales scenarios - Drive repeat business and long-term relationships through consistent follow-up - Conduct regular training sessions on sales techniques and best practices - Keep the team informed of product updates, regulatory requirements, and policy changes - Identify skill gaps and deliver targeted coaching to improve performance Qualifications - Proven leadership experience managing and mentoring sales teams - Strong background in life insurance sales or a closely related field - Excellent communication, coaching, and interpersonal skills - Goal-oriented mindset with a track record of exceeding sales targets - Strategic and analytical approach to performance management - Highly organized and self-motivated with the ability to lead remotely Requirements - Must be legally authorized to work in the United States - Candidates residing in New York or Massachusetts are not eligible for this role Benefits - 100% Remote: Lead your team from anywhere in the U.S. (excluding NY & MA) - Comprehensive Training & Support: Ongoing resources to support your success and your team’s growth - Flexible Schedule: Balance leadership responsibilities with work-life flexibility - Competitive Commission Structure: Earnings tied to both individual and team performance - Career Advancement: Opportunity to grow into senior or executive leadership roles - Purpose-Driven Work: Help individuals and families secure long-term financial protection