Claims Specialist

Company: Quadrant Health Group
Location: Boca Raton
Posted on: April 7, 2026

Job Description:

Join our dynamic team at Quadrant Health Group! Quadrant Billing Solutions, a proud member of the Quadrant Health Group. QBS delivers hands-on, process-driven operational support to behavioral health programs. We're hiring a Claims Specialist to drive accurate claim submission, denial resolution, and consistent payer follow-through across our facilities. This role is for someone who can manage claims with precision: clean submission, fast follow-up, strong payer communication, and zero dropped tasks. You will be responsible for ensuring claims move efficiently from billing to payment with clear documentation and consistent resolution. This role is built for someone who values clean processes, urgency, and closing out claim issues completely, anything less won't fit here. What You'll Do ? Submit clean claims daily and monitor payer responses. ? Follow up consistently to ensure claims move through the system without delay. ? Investigate denials and rejections, correct errors, and submit appeals when needed. ? Communicate directly with payers to obtain claim status updates and reference numbers. ? Maintain clear, audit-ready documentation in EMR and tracking tools. ? Partner with billing leadership to reduce AR days and improve payment turnaround. ? Identify denial trends and recommend workflow improvements. Requirements Experience ? 2-4 years in medical claims processing or revenue cycle operations. ? Behavioral health experience preferred (SUD/MH a plus). ? Strong understanding of payer claim workflows and denial resolution. ? Proven ability to manage multiple claims with urgency and accuracy. Education / Training ? Associate's or Bachelor's degree preferred (or equivalent experience). ? Comfort with EMR systems, clearinghouses, and structured trackers. ? Experience with appeals and payer portals is a plus. Character Traits ? Denial-driven problem solver: Enjoys digging into payer issues and resolving claim obstacles quickly. ? Persistent follow-through operator: Stays on claims until final payment is secured, no loose ends. ? Detail-obsessed executor: Catches small errors before they become reimbursement delays. ? Strong payer communicator: Confident, professional, and effective on insurance calls. Who This Role Is NOT For: ? People who avoid payer follow-up or denial work. ? Anyone who struggles with organization or task ownership. ? People who tolerate unresolved claims sitting untouched. Why Join Quadrant Billing Solutions? * Rapid career growth in a mission-driven, niche billing company. * Collaborate with clinical and billing experts who understand behavioral health. * Join a tight-knit, supportive team culture. * Gain opportunities for leadership advancement as the company scales. About Quadrant Billing Solutions: At Quadrant Billing Solutions, we believe in fostering a culture of compassion, innovation, and excellence. We are dedicated to empowering individuals to achieve their optimal health and well-being. Our team is comprised of highly skilled professionals who are passionate about making a difference in the lives of those we serve. Join us and be part of a team that values your contributions and supports your professional growth. HP Compensation details: 18-24 Hourly Wage PI887d43cda476-29400-39727103

Keywords: Quadrant Health Group, Tamiami , Claims Specialist, Accounting, Auditing , Boca Raton, Florida