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 claims for assigned offices and ensuring timely submission. - Performing quality control checks on patient accounts for accurate billing. - Reviewing and analyzing denial queues to identify outstanding claims and unpaid balances. - Following up on denied, underpaid, or rejected claims with insurance companies to resolve billing discrepancies. - Investigating and resolving claim rejections or denials, including appealing or demanding denied claims when necessary. - Collaborating with the Insurance Verification team to ensure eligibility and coverage is uploaded for patients. - Communicating with insurance companies, patients, and healthcare providers to gather additional information required for claim processing. You should possess the following qualifications and skills: - Education: High school diploma or equivalent required; certification in medical billing or coding preferred. - Experience: Minimum 2 years in claims processing, medical billing, or related roles. - Technical: 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, a global customer experience and digital solutions partner, values results and relationships. Join our inclusive team that offers comprehensive training, career growth opportunities, and a collaborative culture. As an equal opportunity employer, we celebrate diversity and create an inclusive environment for all employees.,