Medical Lien Specialist (Full-Time)

SPOONER•Scottsdale, AZ

7d•$21 - $23•Onsite

About The Position

Spooner, Arizona's largest physical therapy private practice, is seeking a Medical Lien Specialist to join their Revenue Cycle Management team. This full-time position is ideal for a team-focused, high-energy individual who is comfortable being a core team member and ensuring an exceptional experience for stakeholders. Spooner prides itself on a culture of excellence founded on core values, helping communities achieve health through movement for over 35 years. The company offers opportunities for career growth and is dedicated to fostering a positive and fun work environment with continuous learning.

Requirements

Excellent communication skills with emphasis on customer service.
Computer and data-entry proficient.
Basic level of skills with Microsoft Word, Excel and the ability to use other computer software.
Team-oriented.
Problem solving skills.
Goal driven.
Attention to detail.

Nice To Haves

A background in legal/liability services preferred.

Responsibilities

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 account ledgers 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 or law office correspondence, such Explanation of Benefits (EOB) or other request for info and researches appropriate claims steps, such as first or second appeal.
Communicate daily with insurance carriers, adjustors and attorney offices to track and check status of cases and open liability claims.
Review and analyze settlement offers and negotiate with law offices when necessary.
Prepare an analytical summary report identifying areas of concern by dollar amount, volume and accounts settled.
Prioritize scheduling of incoming personal injury referrals and high-level communication with referring entities.
Post settlement payments received from law firms or third-party liability carriers.
Track improvement of targeted denials once process or system edits have developed to reduce/prevent future denials.
Communicate with clients, attorneys and patients (as needed).

Benefits

Award-winning medical coverage with low premiums, $500 individual and $1,000 family deductibles.
No cost expert physical and hand therapy.
Access to a direct primary care team.
Student loan repayment program.
Proactive Health Management Plan.
Dental, vision, life, and other voluntary insurances.
Paid time off and holiday pay.
Generous continuing education funds.
401(k) matching.
Employee Assistance Program.
Employee referral bonus.