Claim Specialist

As a Claims Specialist at Quantanite, you will play a crucial role in managing the end-to-end claims process to ensure timely and accurate reimbursement. Your responsibilities will include reviewing, submitting, and following up on insurance claims, collaborating with internal teams, insurance companies, healthcare providers, and patients to resolve billing discrepancies, and maintaining compliance with regulations. Key Responsibilities: - Review claims for assigned offices and ensure timely submission. - Perform quality control checks on patient accounts to guarantee accurate billing. - Analyze denial queues to identify outstanding claims and unpaid balances. - Follow up with insurance companies on denied, underpaid, or rejected claims to resolve billing discrepancies. - Investigate and resolve claim rejections or denials, including appealing or demanding denied claims when necessary. - Collaborate with the Insurance Verification team to ensure accurate billing information is obtained. - Communicate with insurance companies, patients, and healthcare providers to gather additional information required for claim processing. Qualifications Required: - Education: High school diploma or equivalent required; certification in medical billing or coding preferred. - Experience: Minimum of 2 years in claims processing, medical billing, or related roles. - Technical Skills: Proficiency in claims management systems and Microsoft Office Suite. - Knowledge: Strong understanding of insurance claim procedures, denial management, and reimbursement processes. - Attributes: Excellent attention to detail, analytical thinking, clear communication, and ability to work independently or collaboratively. Quantanite is a global customer experience and digital solutions partner that values smart technology and intelligent individuals. With comprehensive training, opportunities for career growth, a collaborative culture, and a chance to make a global impact, you will be part of a forward-thinking and inclusive team. Join us in delivering exceptional results for leading global brands. (Note: Application questions are not included in the job description),