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Coastal Medial Group

Claims Specialist/Collections SpecialistCompany: Quadrant Billing Solutions (QBS)Location: Boca Raton, FL (on-site)Pay range: $18 - 24 (Based on Experience)Quadrant Billing Solutions delivers hands-on, process-driven operational support to behavioral health programs. We&rsquo;re hiring a Claims Specialist to drive accurate claim submission, denial resolution, and consistent payer follow-through across our facilities. We are looking for highly motivated, eager individuals that are looking for an opportunity to learn and grow with the company. Ideal candidate would be able to grow into leadership role as company growth occurs.This role is for someone who can manage claims with precision: 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. This role is built for someone who values clean processes, urgency, and closing out claim issues completely, anything less won&rsquo;t fit here.What You&rsquo;ll Do<ul><li>Oversee claims daily and monitor payer responses</li><li>Follow up consistently to ensure claims move through the system without delay</li><li>Investigate denials and rejections, correct errors, and submit appeals when needed</li><li>Communicate directly with payers to obtain claim status updates and reference numbers</li><li>Maintain clear, audit-ready documentation in EMR and tracking tools</li><li>Partner with billing leadership to reduce AR days and improve payment turnaround</li><li>Identify denial trends and recommend workflow improvements</li></ul>RequirementsExperience<ul><li>0-3 years in behavioral health claims processing or revenue cycle operations</li><li>Behavioral health experience preferred (SUD/MH a plus)</li><li>Strong understanding of payer claim workflows and denial resolution</li><li>Proven ability to manage multiple claims with urgency and accuracy</li></ul>Education / Training<ul><li>Associate&rsquo;s or Bachelor&rsquo;s degree preferred (or equivalent experience)</li><li>Comfort with EMR systems, clearinghouses, and structured trackers</li><li>Experience with appeals and payer portals is a plus</li></ul>Character Traits<ul><li>Denial-driven problem solver: Enjoys investigating into payer issues and resolving claim obstacles quickly</li><li>Persistent follow-through operator: Stays on claims until final payment is secured, no loose ends</li><li>Detail-obsessed executor: Catches small errors before they become reimbursement delays</li><li>Strong payer communicator: Confident, professional, and effective on insurance calls</li></ul>Who This Role Is NOT For:<ul><li>People who avoid payer follow-up or denial work</li><li>Anyone who struggles with organization or task ownership</li><li>People who tolerate unresolved claims sitting untouched</li></ul>Job Type: Full-timePay: $18.00 - $24.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Ability to Relocate:<ul><li>Boca Raton, FL: Relocate before starting work (Required)</li></ul>Work Location: In person

Claims / Collections Specialist (SUD & MH)

Join Coastal Medial Group and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Coastal Medial Group

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Claims / Collections Specialist (SUD & MH)