In-Office Medical Claims Specialist (Behavioral Health)

quadrant health group; Boca Raton (FL); Sur place; USD 25 000 - 33 000; Plein temps

Résumé du poste

Quadrant Health Group, Boca Raton, FL, is seeking a Claims Specialist for an in-office, full-time role to drive accurate claim submission, denial resolution, and consistent payer follow-through across our behavioral health programs.

Ideal candidates have 2–4+ years in medical claims processing, strong knowledge of payer workflows, and a commitment to precise documentation and fast follow-up. Compensation is $18–$24 per hour, based on experience.

Qualifications

• 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.

Responsabilités

• 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.

Connaissances

Claims processing

Payer follow-up

Denial management

Multi-claim handling

Formation

Associate’s or Bachelor’s degree preferred

Outils

EMR systems

Clearinghouses

Structured trackers

Description du poste

Quadrant Health Group, Boca Raton, FL, is seeking a Claims Specialist for an in-office, full-time role to drive accurate claim submission, denial resolution, and consistent payer follow-through across our behavioral health programs.

Ideal candidates have 2–4+ years in medical claims processing, strong knowledge of payer workflows, and a commitment to precise documentation and fast follow-up. Compensation is $18–$24 per hour, based on experience.