Quadrant Health Group
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. 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 PI182ccc177339-29952-38267920
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. 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 PI182ccc177339-29952-38267920