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Claims Specialist- In Office Role

Date Posted: May 19, 2026
Yearly: USD - USD
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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
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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

Quadrant Health Group
Boca Raton, Florida, United States of America
9 Current Jobs Openings

Quadrant Health Group focuses on providing operational support to behavioral health programs through its subsidiary, Quadrant Billing Solutions. The company is committed to facilitating efficient claims processing and enhancing payment turnaround for... Read More

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