Claims SpecialistQuadrant Health Group • Boca Raton, FL, US
Claims Specialist
Quadrant Health Group • Boca Raton, FL, US
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionProactively follow up on unpaid and underpaid claims for Detox, Residential, PHP, and IOP levels of care. Manage 500–700 claims per week , prioritizing efficiency and accuracy. Handle 4–5 hours of phone time per day with strong communication skills. Communicate with payers via phone, portals, and written correspondence to resolve billing issues. Identify trends in denials and underpayments and escalate systemic issues. Dispute and overturn wrongly denied claims . Update and track claims using CMD (CollaborateMD) and internal task systems. Follow QBS workflows using Google Drive, Docs, Sheets, and Kipu EMR . Maintain professional and timely communication with internal teams and facility partners. Handling refund requests and appeals . Preparing and submitting level 1–3 appeals (e.g., medical necessity, low pay, timely filing). Gathering and submitting medical records for appeal support. Working with utilization review (UR) or clinical teams. Familiarity with ASAM and MCG medical necessity criteria . Exposure to payment posting, authorization reviews , or credentialing . Minimum 1 year of SUD / MH billing and claims follow-up experience (required). High School Diploma or equivalent, associate or bachelor’s degree (preferred). Strong understanding of insurance verification, EOBs, and RCM workflows . Familiarity with major payers : BCBS, Cigna, Aetna, UHC, Optum, TriWest . Experience overturning insurance denials is a strong plus . Proficient in CMD (CollaborateMD) and Kipu EMR (strongly preferred). Excellent written and verbal communication skills. Highly organized, detail-oriented, and capable of managing multiple priorities. 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.
Job Description
Job Description
Join our dynamic team at Quadrant Health Group! Quadrant Billing Solutions, a proud member of the Quadrant Health Group, i s seeking a passionate and dedicated Claims Specialist to join our growing team. You will play a vital role focused on ensuring that healthcare services are delivered efficiently and effectively.
Why Join Quadrant Health Group?
- Competitive salary commensurate with experience.
- Comprehensive benefits package, including medical, dental, and vision insurance.
- Paid time off, sick time and holidays.
- Opportunities for professional development and growth.
- A supportive and collaborative work environment.
- A chance to make a meaningful impact on the lives of our clients.
Compensation : $18 - $24 per hour - Full-time
What You'll Do :
The ideal candidate is organized, persistent, and results-driven, with deep knowledge of out-of-network billing for Substance Use Disorder (SUD) and Mental Health (MH) services. You’ll join a high-performing team focused on maximizing collections, reducing aging A / R, and ensuring every dollar is pursued.
Major Tasks, Duties and Responsibilities :
Bonus Experience (Not Required) :
What You'll Bring :
Why Join Quadrant Billing Solutions?
#HP
serp_jobs.job_alerts.create_a_job
Claim Specialist • Boca Raton, FL, US
Job_description.internal_linking.related_jobs
Launch Your Insurance Career with a Proven Industry Leader.Worxweb Solutions is proud to partner with high-performing organizations to connect ambitious professionals with rewarding opportunities.W...serp_jobs.internal_linking.show_more
On-Site in Dania, FL This Role : As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry.You’ll contribut...serp_jobs.internal_linking.show_more
Accounts Receivable Billing Specialist.PrideStaff Financial has a great opportunity for an experienced Accounts Receivable Billing Specialist on a temp to perm basis.
In this role you will be respon...serp_jobs.internal_linking.show_more
Accounts Receivable Specialist.Are you a detail-oriented professional with a knack for numbers? Do you have in-depth knowledge of the accounts receivable process and thrive in fast-paced environmen...serp_jobs.internal_linking.show_more
ARC Group seeks two Bodily Injury Claims Adjuster to work in a remote contract role for our direct client based in Fort Lauderdale, FL.
This is a 90 day contract to start and could possibly extend.T...serp_jobs.internal_linking.show_more
At Morgan & Morgan, the work we do matters.For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods.
From attorneys in all 50 st...serp_jobs.internal_linking.show_more
Where Your Success is Our Priority!.Are you a licensed and driven health insurance agent looking for consistent leads, real support and top-tier earning potential? At Legacy Health, we're commi...serp_jobs.internal_linking.show_more Where Your Success is Our Priority!.Are you a licensed and driven health insurance agent looking for consistent leads, real support and top-tier earning potential? At Legacy Health, we're commi...serp_jobs.internal_linking.show_more 
Are you looking for a career in Insurance Sales? Do you want to build your own business? Globe Life Liberty National Division is seeking candidates who are ready to build their own business by help...serp_jobs.internal_linking.show_more Where Your Success is Our Priority!.Are you a licensed and driven health insurance agent looking for consistent leads, real support and top-tier earning potential? At Legacy Health, we're commi...serp_jobs.internal_linking.show_more 
Sparks Group has partnered with a leading aviation manufacturing company seeking a product acceptance specialist in the Miami area.
If you have at least one year of experience with quality control o...serp_jobs.internal_linking.show_more Where Your Success is Our Priority!.Are you a licensed and driven health insurance agent looking for consistent leads, real support and top-tier earning potential? At Legacy Health, we're commi...serp_jobs.internal_linking.show_more 
If you reside in California, please see our.California Applicant Privacy Policy.Let MV Transportation expand your toolbox! Do you want a stable career with great and steady pay, a set schedule, and...serp_jobs.internal_linking.show_more
Location : Sunrise, FL Duration : 6 Months Visa : GC or USC The main function of a Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's liability to determine ho...serp_jobs.internal_linking.show_more ARC Group seeks a Bodily Injury Claims Adjuster to work in a remote hybrid role for our direct client based in FL.The Claims Adjustor will investigate, evaluate, and negotiate bodily injury claims,...serp_jobs.internal_linking.show_more 
Embark on a Journey That Makes a Difference.At Generali Global Assistance (GGA), every day is an opportunity to help people explore the world with confidence.
We're not just in the business of prote...serp_jobs.internal_linking.show_more
HealthMarkets Overview Job Description : .If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent licensed insura...serp_jobs.internal_linking.show_more
Territory Salesperson – Caribbean.This position works from home 3 weeks per month conducting customer contact via E-mails, WhatsApp and phone calls and then conducts sales meetings on-island ...serp_jobs.internal_linking.show_more
Licensed Final Expense Agent
Worxweb Solutions • Fort Lauderdale, null, US, 33309
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Claims Specialist, Audit & Contracting
LogixHealth • Dania, FL, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Accounts Receivable Specialist
PrideStaff • West Palm Beach, FL, US
serp_jobs.job_card.temporary
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Accounts Receivable Specialist
USA Jobs • West Palm Beach, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Claims Adjustor (BI)
American Recruiting & Consulting Group • Fort Lauderdale, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Seeking Claims Adjusters!Fort Lauderdale, Florida, United States
Morgan & Morgan, P.A. • Fort Lauderdale, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Insurance Sales Advisor
Legacy Health, LLC • Tamarac, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Medicare Insurance Agent
Legacy Health, LLC • Sunrise, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Insurance Sales
LIBERTY NATIONAL • Coral Springs, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Health Insurance Sales Specialist
Legacy Health, LLC • Hollywood, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Product Acceptance Specialist
Sparks Group • Hialeah, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Health Insurance Agent
Legacy Health, LLC • Tamarac, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Mechanic Level A - $34.25 / hour
MV Transportation • North Palm Beach, FL, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Adjuster-Sunrise, FL
Staffing • Fort Lauderdale, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Claims Adjuster (Bodily Injury)
American Recruiting & Consulting Group • Fort Lauderdale, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Liability Claims Assistant
Generali Global Assistance • Pembroke Pines, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Licensed Insurance Agent
HealthMarkets Insurance Agency • Coral Springs, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Territory Salesperson
Westhem Supply • Wellington, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted