Job Description

Job Description

Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI’s proactive philosophy and best practices have set the standard in workers’ compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker.

The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices.

Essential Functions

• Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information.
• Perform fee bill audits according to established procedures and guidelines.
• Data enter fee fills accurately for electronic transmission.
• Adhere to established billing performance requirements.
• Review electronic response to transmitted bills and make modifications accordingly.
• Respond to telephone inquiries from customers regarding bill payment status.
• Participate in continuous improvement activities and other duties as assigned.

Supervision Received

Reports to the Billing Supervisor

Experience and Education Required

• Medical billing certification or at least 2 years of experience working in the medical billing field
• Data entry experience

Additional Skills Needed

• Effective written and verbal communication
• Detail oriented
• Strong organizational ability
• Basic computer literacy skills

Working Environment

The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.

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