Full-Cycle Workers’ Comp Billing Specialist

Hunt; Scottsdale (AZ); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Student loan repayment

Low premiums

Dental, vision, life insurance

401(k) matching

Paid time off and holidays

Employee Assistance Program

Job summary

Spooner, Arizona's leading physical therapy private practice, is seeking a Full-Cycle Workers' Compensation Billing Specialist to join our culture of excellence. You will coordinate between patients, employers, providers, and payers to ensure accurate billing and timely payments.

You will analyze claim denials, verify coverage, obtain authorizations, and manage appeals. Our benefits include low premiums, 401(k) matching, PTO, and a supportive team focused on patient-centered service.

Qualifications

• 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.

Responsibilities

• 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 EOBs, to determine next-step resolution strategies and appeal opportunities.
• Collaborate directly with insurance carriers, 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.

Skills

Healthcare billing

Insurance verification

Authorizations

Denial management

Customer service

Communication

Multitasking

Attention to detail

Billing systems

Education

High School Diploma or GED

Job description

Spooner, Arizona's leading physical therapy private practice, is seeking a Full-Cycle Workers' Compensation Billing Specialist to join our culture of excellence. You will coordinate between patients, employers, providers, and payers to ensure accurate billing and timely payments.

You will analyze claim denials, verify coverage, obtain authorizations, and manage appeals. Our benefits include low premiums, 401(k) matching, PTO, and a supportive team focused on patient-centered service.