Claims Specialist
4 days ago
Join our dynamic team at Quadrant Health Group Quadrant Billing Solutions, a proud member of the Quadrant Health Group, is 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. Youll join a high-performing team focused on maximizing collections, reducing aging A/R, and ensuring every dollar is pursued. Major Tasks, Duties and Responsibilities: Proactively follow up on unpaid and underpaid claims for Detox, Residential, PHP, and IOP levels of care. Manage 500700 claims per week, prioritizing efficiency and accuracy. Handle 45 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. Bonus Experience (Not Required): Handling refund requests and appeals. Preparing and submitting level 13 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. What You'll Bring: Minimum 1 year of SUD/MH billing and claims follow-up experience (required). High School Diploma or equivalent, associate or bachelors 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. Why Join Quadrant Billing Solutions? 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. #HP Compensation details: 18-24 Hourly Wage PI56a0d6e8b8f8-31181-38267920
-
Collector Specialist Part time
1 day ago
Coconut Creek, United States USPI Full timePark Creek Surgery Center performs a broad range of outpatient surgical procedures. Our mission is to care for every patient and their family as if they were our own. Each patient, each family, each and every time. We are seek a Meticulous and quality and high-safety principled professional needed for single specialty ortho practice. We are looking for...
-
Senior Claims Specialist
1 day ago
Walnut Creek, United States AXA Group Full timeSenior Claims Specialist – TPA Liability Walnut Creek, CA /Los Angeles, CA I USA Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous improvement. You create an...
-
Claim Specialist
2 weeks ago
Whites Creek, United States State Farm Full timeOverviewBeing good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good!Grow Your Skills, Grow Your PotentialResponsibilitiesJoin our team as a Property Field Inspection Claim...
-
Claim Specialist
2 weeks ago
Whites Creek, United States State Farm Full timeOverviewBeing good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good! Grow Your Skills, Grow Your Potential ResponsibilitiesJoin our team as a Property Field Inspection Claim...
-
Senior Claims Specialist
2 weeks ago
Walnut Creek, United States AXA Group Full timeSenior Claims Specialist – Workers Compensation Exton, PA; Los Angeles, CA; Walnut Creek, CA, Atlanta, GA, Chicago, IL Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of...
-
Workers' Comp Claims Advocate: Analyze
2 weeks ago
Walnut Creek, United States Alliant Insurance Services Full timeA prominent insurance brokerage firm in Walnut Creek is seeking a Claims Specialist. This role requires managing workers' compensation claims, providing support for Producers, and involves extensive customer service duties. Ideal candidates will have strong communication skills, a Bachelor's degree, and experience in indemnity claims. A valid insurance...
-
Payroll and Benefits Specialist
4 weeks ago
Coconut Creek, United States Minto Group Full timeJob DescriptionJob Title: Payroll and Benefit SpecialistLocation: Coconut Creek, FL (Onsite Only) Schedule: Mon-Fri 8:00 AM-5:00 PM Function: 80% Payroll 20% Benefits Build your future at Minto! Since 1955, we've been proudly building better places for people to live, work and play, one home and one relationship at a time. To us, it's all about special...
-
Administrative Specialist III
1 week ago
Coconut Creek, United States Broward College Full timeDescription SummaryUnder general supervision, the purpose of the job is to perform and/or oversee a variety of associated administrative tasks, provide staff support, perform specialized recordkeeping and data management, coordinates the employee onboarding experience and/or specified information-gathering projects and tasks. Communicates with employees,...
-
secretary specialist
1 week ago
Coconut Creek, Florida, United States State of Florida Full time $33,000 - $40,000 per yearRequisition No: Agency: Department of EducationWorking Title: SECRETARY SPECIALIST Pay Plan: Career ServicePosition Number: Salary: $2,813.33 Monthly/ $33,760.00 Annually Posting Closing Date: 11/06/2025 Total Compensation Estimator ToolDIVISION OF VOCATIONAL REHABILITATIONLOCATION: DVR AREA 7, Unit 22CSECRETARY SPECIALISTPosition Number: Minimum...
-
Administrative Specialist III
1 week ago
Coconut Creek, FL, United States Broward Community College Full timeJob Description Summary Under general supervision, the purpose of the job is to perform and/or oversee a variety of associated administrative tasks, provide staff support, perform specialized recordkeeping and data management, coordinates the employee onboarding experience and/or specified information-gathering projects and tasks. Communicates with...
