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Claims Specialist- In Office Role

Date Posted: May 21, 2026
: USD - USD

Job Detail

  • location_on
    Location Pompano Beach, 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 21, 2026

Job Description

Overview

The Claims Specialist at Quadrant Health Group will play a crucial role in managing claims with precision, focusing on accurate submission, denial resolution, and effective communication with payers. This position is essential for ensuring that claims progress smoothly from billing to payment, emphasizing a detail-oriented and process-driven approach in a supportive team environment.

Key responsibilities

  • Submit clean claims daily and monitor payer responses
  • 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
  • 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
  • Collaboration with clinical and billing experts knowledgeable in behavioral health
  • Supportive team culture
  • Opportunities for leadership advancement as the company scales

Skills Required

Company Overview

Boca Raton, Florida, United States of America

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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