Medical Billing & Collections Specialist
Company: Spooner
Location: Scottsdale
Posted on: May 9, 2024
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Job Description:
**This is not a remote position**Are you a team focused,
high-energy, engaging individual? Do you feel comfortable with
being a core team member and ensuring an exceptional experience for
team members and other stakeholders? Do you want to do your part to
elevate the physical therapy profession? Do you want to learn from
the best in the industry?At Spooner, Arizona's largest physical
therapy private practice, we are most proud of our culture of
excellence that is founded on our core values. Spooner has been
helping our communities achieve health through movement for over 30
years, and we continue to grow in size and expertise every year. If
you are looking to join a company where you can build a career,
Spooner is the place for you.Healthcare & BenefitsSpooners
award-winning healthcare and benefits plan is dedicated to ensuring
our employees have access to health care and receive the right
care, at the right time with the right provider. Spooner employees
enjoy no cost expert physical therapy, hand therapy and access to a
direct primary care team dedicated to keeping our team
healthy.Student loan repayment program$500 individual and $1,000
family deductiblesLow premiumsA dedicated direct primary care
medical team for Spooner employeesDental, vision, life, and other
voluntary insurancesPaid time off and holiday pay401(k)
matchingEmployee Assistance ProgramMany other benefits to help keep
you happy and healthyWhat Youll Be DoingProvide a communication hub
to and from the company, patients, clinic teams, referring
providers, clearing house, and payers regarding benefit
eligibility, payments, and denials (including authorization
guidelines).Accurately verify benefits and eligibility to ensure
that our patients can make informed decisions in regard to the cost
associated with their healthcare plan, while documenting
eligibility and benefits within our systems.Successfully schedule
our patients with the goal of exceeding their expectations timely,
conveniently, and with the right provider or specialist.Answer
inbound calls in order of when they are received.Create and
maintain multiple scheduling logs such as daily call volume,
unscheduled cases, call attempts completed, daily verification log,
etc.Obtain prior authorization for new patients/initial
authorizations scheduled by Central Client Services.Re-verification
of benefits for all active Spooner patients on a standard
schedule.Run daily verification reports.Process all charge entry
and claims submission functions, including coding and managing
rejections.Review status of patient accounts to identify and
resolve billing and processing problems in a timely manner.Resolve
edits related to coding; obtain and review relevant documentation
and ensure documentation supports services billed.Review patient
statements for accuracy and completeness and obtain any missing
information.Review and analyzing claim denials in order to perform
the appropriate resolution, rebilling, and/or appeals steps.Receive
insurance correspondences, such Explanation of Benefits (EOB) and
research appropriate claims steps, such as first or second
appeal.Communicate daily with insurance carriers to track and check
status of appeals.Research reasons of denial from first appeal and
incorporate more in-depth rebuttals for second appeals.Prepare an
analytical summary report identifying areas of concern by dollar
amount, volume and new denials.Resolve tasks assigned to you and to
billing.What You Can ExpectA team environment that fosters
continuous learning and fun.A 6 month onboarding program.What You
Bring to the RoleMinimum high school diploma or GEDMinimum of 2-3
years experience working in a medical fieldMedicaid Billing
experience preferredExcellent customer service and communication
skillsAbout SpoonerSpooner is a place for professionals with a
growth mindset who want to push themselves to achieve excellence.
Spooner began with a vision of disrupting the status quo of
healthcare, and to accelerate the use of physical and occupational
therapists as primary care, musculoskeletal experts. Spooner
continues to grow in the greater-Phoenix area and has recently
entered the Dallas-Fort Worth market. If you are interested in
joining us on our journey of growth, collaboration, and disruption,
you wont be disappointed!This is not your common workplace. Fun and
excellence go hand and hand at Spooner, and we provide ample
opportunities to achieve both. Our commitment to continuous
learning is evident in our culture-first environment, and we are
always looking for team members to strengthen and cultivate it!We
promise to help you achieve excellence. We will help you become a
leader. We will help you accelerate your career.@SADMINby
Jobble
Keywords: Spooner, Maricopa , Medical Billing & Collections Specialist, Accounting, Auditing , Scottsdale, Arizona
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