Full Cycle Biller - Workers' Compensation Specialist

Description 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. Are you an outgoing and engaging individual committed to delivering exceptional customer service? Are you a natural communicator who enjoys communicating with diverse people? We encourage you to apply if you are ready to be at the forefront of customer service excellence! As the Full-Cycle Workers' Compensation Billing Specialist, you will serve as the communications hub between the company, patients, referring providers and payers. You will be responsible for analyzing claim denials, billing/collecting payments, and reviewing patient statements for accuracy. This role is vital in ensuring our clients and stakeholders receive the best possible experience. Healthcare & Benefits Spooner’s 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 deductibles Low premiums A dedicated direct primary care medical team for Spooner employees Dental, vision, life, and other voluntary insurances Paid time off and holiday pay 401(k) matching Employee Assistance Program Many other benefits to help keep you happy and healthy Qualifications What You’ll Be Doing As a vital part of our Full Revenue Cycle Billing Team, you’ll serve as the communication and coordination hub between injured workers, employers, case managers, providers, insurance carriers, and clinic teams. Your work will directlysupport timely care, accurate billing, and exceptional patient experiences throughout the workers’ compensation journey. In this role, you will: Coordinate communication between patients, adjusters, nurse case managers, providers, employers, clearinghouses, and payers regarding eligibility, authorizations, treatment approvals, claims status, and denials. Verify workers’ compensation coverage, medical benefits, claim details, and authorization requirements. Manage inbound calls with professionalism, urgency, and exceptional customer service. Obtain prior authorizations when necessary for evaluations, and therapy services based on a treatment plan. Perform ongoing re-verification of benefits and claim eligibility for active workers’ compensation cases. Run and analyze billing reports to proactively identify issues. Process charge entry, coding review, and claims submissions with a strong focus on accuracy and regulatory compliance. Investigate and resolve billing edits, rejected claims, and denied services while ensuring documentation supports all billed procedures. Review patient accounts and insurance correspondence, including Explanation of Benefits (EOBs), to determine next-step resolution strategies and appeal opportunities. Collaborate directly with insurance carriers, third-party administrators (TPAs), and workers’ compensation adjusters to monitor claim status and accelerate payment resolution. Prepare detailed appeal documentation and build strong rebuttals for denied or underpaid claims. Analyze denial trends and produce reporting that identifies key areas of concern by payer, volume, and financial impact. Resolve assigned billing and account tasks promptly while contributing to a high-performing, patient-focused team environment. 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 Expect A collaborative, culture-driven team environment that values growth, learning, and innovation. A comprehensive onboarding and training program designed to set you up for long-term success. Opportunities to expand your expertise in workers’ compensation operations, medical billing, insurance authorization, and revenue cycle management. A fast-paced healthcare environment where your work makes a meaningful impact on patient recovery and outcomes. What You Bring to the Role High school diploma or GED required. 2–3 years of experience in healthcare administration, medical billing, patient access, or revenue cycle operations. Workers’ compensation and/or Medicaid billing experience strongly preferred. Knowledge of insurance verification, authorizations, claims processing, appeals, and denial management. Exceptional communication, multitasking, and customer service skills. Strong attention to detail with the ability to navigate multiple systems and prioritize effectively in a high-volume environment. Commitment to professionalism, accountability, and patient-centered service. 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. 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 won’t 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. #J-18808-Ljbffr Spooner