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. 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:
* Proactively 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.
Bonus Experience (Not Required):
* 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 .
What You'll Bring:
* 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.
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
PIf4d87b8eeb9d-29400-38267920
* 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:
* Proactively 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.
Bonus Experience (Not Required):
* 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 .
What You'll Bring:
* 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.
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
PIf4d87b8eeb9d-29400-38267920