Claims / Collections Specialist (SUD & MH)

Quadrant Billing Solutions delivers hands-on, process-driven operational support to behavioral health programs. We are hiring a Claims Specialist to drive accurate claim submission, denial resolution, and consistent payer follow-through across our facilities. This role involves managing claims with precision, ensuring clean submission, fast follow-up, strong payer communication, and zero dropped tasks. You will be responsible for ensuring claims move efficiently from billing to payment with clear documentation and consistent resolution.

Responsibilities:

• Oversee 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
• Identify denial trends and recommend workflow improvements

Requirements:

• 0-3 years in behavioral health 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
• Associate’s or Bachelor’s degree preferred (or equivalent experience)
• Comfort with EMR systems, clearinghouses, and structured trackers
• Experience with appeals and payer portals is a plus

Qualities:

• Denial-driven problem solver
• Persistent follow-through operator
• Detail-obsessed executor
• Strong payer communicator

This role requires relocation to Boca Raton, FL and is on-site.