Reimbursement Analyst

Quadax, Inc.•Middleburg Heights, OH

13h•$72,000 - $82,000•Hybrid

About The Position

Quadax, a leader in healthcare revenue cycle management, is seeking a Reimbursement Analyst to join the company’s Revenue Cycle Services (RCS) division. This position uses advanced analytics to maximize revenue for our clients and demonstrate Quadax as a market leader in revenue cycle management (RCM). The successful candidate will support and operationalize the Quadax Reimbursement Management program by performing routine monthly accounts receivable analysis and identifying payer reimbursement trends across the revenue cycle. This client facing role involves conducting root cause analysis, preparing detailed reports, and collaborating across business units to drive improvements in RCM.

Requirements

Four-year bachelor's degree in Business Management, Healthcare Management, Finance, Business Analytics, or a related field
3-5 years of professional experience, preferably in Healthcare Revenue Cycle Management
Strong analytical, problem-solving, and critical-thinking skills
Advanced proficiency in Microsoft Excel and PowerPoint
Experience managing multiple tasks and objectives to achieve individual and organizational goals
Strong written and verbal communication skills for effective interaction with clients and internal departments, including executive teams
Proven entrepreneurial mindset with the ability to establish priorities, work independently, and achieve objectives

Nice To Haves

Experience in Power BI, SQL, and Visio is a plus
Experience in laboratory or general healthcare RCM is preferred but not required

Responsibilities

Implement and maintain the Quadax Reimbursement Management methodology through monthly revenue cycle analysis of clients. The methodology is a structured means to identify revenue opportunities from various steps within the revenue cycle.
Utilize Quadax healthcare billing applications to analyze data and identify payer reimbursement trends, leveraging dashboards and other advanced reporting tools.
Conduct root cause analysis (RCA) on findings in collaboration with Quadax business units and clients.
Suggest corrective and preventative actions and work collaboratively with stakeholders to implementation solutions.
Monitor and track reimbursement improvements based on analysis and findings, and compile results to be shared with the management team and clients.
Evaluate client performance through analysis and comparison to client key performance indicator (KPI) targets and Quadax performance benchmarks.
Prepare summary findings of analysis and RCAs for monthly briefings to Account Executives and Operations Management.
Contribute key findings from monthly briefings and recent reimbursement performance into an end-of-month revenue cycle presentation and quarterly business reviews (QBRs) for Account Executives to present to the client’s management team.
Create ad hoc reports using various productivity tools (Microsoft Excel, Power BI, SQL, etc.) to enhance analysis work.
Collaborate with the Business Intelligence team on new data requirements and reporting enhancements.