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Claims Specialist- In Office Role

Date Posted: May 19, 2026
Yearly: USD - USD
Job is expired

Job Detail

  • location_on
    Location Boca Raton, Florida, United States of America
  • desktop_windows
    Job Type: Permanent
  • schedule
    Shift:
  • analytics
    Career Level:
  • group
    Positions:
  • calendar_view_day
    Experience:
  • male
    Gender: No Preference
  • school
    Degree:
  • calendar_month
    Apply Before: Jun 19, 2026

Job Description

Overview

Quadrant Health Group is seeking a Claims Specialist for its Boca Raton office. This role focuses on accurate claim submission, denial resolution, and payer communication within a dynamic team dedicated to supporting behavioral health programs.

Key responsibilities

  • 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

Required skills

  • 2-4+ years in medical claims processing or revenue cycle operations
  • Behavioral health experience preferred
  • Strong understanding of payer claim workflows and denial resolution
  • Proven ability to manage multiple claims with urgency and accuracy
  • 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

What the company offers

  • 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

Skills Required

Company Overview

Boca Raton, Florida, United States of America

Quad is a global marketing experience company that aims to help clients succeed through data-driven integrated marketing and manufacturing solutions. The company values its employees and encourages them to take charge of their success while fostering... Read More

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