Claims Specialist

As a Claims Specialist at Quantanite, you will play a crucial role in reviewing, processing, and following up on insurance claims to ensure timely and accurate reimbursement. Your attention to detail and proactive approach will be essential in collaborating with internal teams, insurance companies, healthcare providers, and patients to resolve billing discrepancies and maintain compliance with all relevant regulations. Your key responsibilities will include reviewing claims for assigned offices, performing quality control checks on patient accounts, and analysing denial queues to identify outstanding claims. You will be responsible for following up on denied, underpaid, or rejected claims with insurance companies, investigating and resolving claim rejections or denials, and collaborating with the Insurance Verification team to confirm eligibility and coverage for patients. To excel in this role, you should have a solid understanding of claims management processes, exceptional organisational skills, and the ability to thrive in a fast-paced environment. Additionally, you should possess a high school diploma or equivalent education, with certification in medical billing or coding preferred. A minimum of 2 years of experience in claims processing, medical billing, or a related role is required. Proficiency in claims management systems and the Microsoft Office Suite is essential, along with a strong knowledge of insurance claim procedures, denial management, and reimbursement processes. Your strong analytical skills, attention to detail, excellent communication abilities, and the capacity to work independently or in a team environment will be key attributes for success in this role. At Quantanite, we offer comprehensive training, career growth opportunities, and a collaborative culture that values diversity, inclusion, and teamwork. Join us in making a global impact by partnering with leading brands to deliver exceptional results. Quantanite is an equal opportunity employer, committed to creating an inclusive environment for all employees.,