Claims Specialist

QBS delivers hands-on, process-driven operational support to behavioral health

programs. We’re hiring a Claims Specialist to drive accurate claim submission, denial

resolution, and consistent payer follow-through across our facilities.

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’t fit here.

What You’ll Do

● Submit clean 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

Experience

● 2–4+ years in medical 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

Education / Training

● 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

Character Traits

● Denial-driven problem solver: Enjoys digging into payer issues and resolving

claim obstacles quickly

● Persistent follow-through operator: Stays on claims until final payment is

secured, no loose ends

● Detail-obsessed executor: Catches small errors before they become

reimbursement delays

● Strong payer communicator: Confident, professional, and effective on

insurance calls

Who This Role Is NOT For:

● People who avoid payer follow-up or denial work

● Anyone who struggles with organization or task ownership

● People who tolerate unresolved claims sitting untouched

Pay: $18.00 - $24.00 per hour

Benefits:

• Health insurance
• Paid time off
• Vision insurance

Education:

• Bachelor's (Preferred)

Experience:

• medical claims processing: 2 years (Required)
• behavioral health: 1 year (Preferred)

Work Location: In person