Medical Lien Specialist (Full-Time)

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 35 years, and we continue to grow every year. If you are looking to join a company where you can build a career, Spooner is the place for you!

Medical Coverage & Other Benefits

Spooner’s award-winning medical coverage is dedicated to ensuring our employees have access to healthcare and receive the right care, at the right time, with the right provider. Spooner employees on our medical coverage enjoy low premiums, $500 individual and $1,000 family deductibles, no cost expert physical and hand therapy, along with access to a direct primary care team dedicated to keeping our team and their family members healthy. Other amazing benefits you can receive here at Spooner are:

• 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
• Many other benefits to help keep you happy and healthy!

What You'll be Doing

• 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).

What You Can Expect

• A team environment that fosters continuous learning and fun
• A 6-month onboarding program

What You Bring to the Role

• Excellent communication skills with emphasis on customer service.
• Computer and data- entry proficient.
• A background in legal/liability services preferred.
• 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.

About Spooner

Spooner 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.

This is not your common workplace. Fun and excellence go hand-in-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.

@SADMIN