Workqueues are reviewed and individual invoices assessed for denials/errors. Claims adjusted and refiled when possible, or they're sent to the appropriate dept for resolution.

I've learned a lot of Medicaid denials that I didn't know before and figured out (sometimes on my own) what the Medicaid office was looking for in order to process the claim. I also learned that third party follow up was a whole different breed from just working follow up directly, employed by hospital or doctor's office. It's difficult to not have the freedom to pick up a phone and call someone at the hospital for assistance.

Management is overall very knowledgeable. Theirs seems to be a high-stress job, and most of the management I've met seem to have long hours.

My coworkers and I feel like a family. We've learned to love one another and lean on one another, not just as far as work is concerned but in general during some real upheavals in the feeling of job security.

The hardest part of the job is determining what the insurance company (Medicaid in my case) denied for. Although we've requested it repeatedly, the cash posters do not post the actual denial when posting from the remittance, instead just using a generic one that basically means nothing to us. Therefore, we have to basically go search for every remittance. This wouldn't be that difficult except that we have many providers, and Medicaid often processes under the wrong provider number. We have to have the provider number they processed under (again, cash posting that number would help), and it turns into a very time consuming guessing game.

The most enjoyable part of the job is surprisingly the job itself. Despite its frustrations with not having information we need and often having our hands tied by simple politics of the work/hospital relationship, I enjoy the work itself. I gain great satisfaction when I'm able to overcome the obstacles and still do my job well.

A typical day at work involves analyzing credits on patient accounts. The steps to figure out the cause of the credits include comparing the credits to past trends, speaking with the insurance company to decide what caused the overpayment, and speaking with patients to get the correct coordination of benefits. 

Before my current position, I had no medical background. I now have a greater understanding of the medical billing process, as well as how to read and understand explanation of benefits and coding of claims. 

The management has a lot of pressure to put out high numbers. While this is a great goal, they aren't really concerned with fixing the problems as a whole. They are focused on the small picture and don't take the employees suggestions seriously. 

Most of my co-workers are easy to get along with. While there will always be the ones who stir the pot, I try to avoid the workplace drama. A lot of my co-workers don't have college degrees, so they are content with jobs that have no option of advancement. 

The hardest part of this job is working the older accounts. Most insurance companies don't keep claim information on file for longer than 18-24 months. Anything we have older than that takes a lot of investigation. Sometimes these can take a couple of days to figure out. Since we are so driven by numbers, a lot of times working these accounts keep us from meeting productivity requirements. 

The most enjoyable part of the job goes hand in hand with the hardest. While the accounts that take a long time are tough, it is very rewarding to be able to get these older accounts off of the books. It is satisfying to know the hard work I've put into something actually solved an issue.

I worked at SPi for almost 5 years.  Everything was great until the second corporate buy-out.  The new management team in the coding department was not good at setting policies and procedures for coding department.  Continuing education was no longer provided on a regular basis.  The communication flow was fragmented and management liked to nit pick email communication despite them not being the best communicators themselves.  They offered little to no guidance on coding issues and consistently hired inexperienced staff which further complicated work matters.  The company has a lot of issues that stem from the VP of HIM.  Compliance was not key.  Google: "SPi lawsuit" to get a glimpse of how non-compliant they were with a previous client and are with current clients.  There only concern is acquiring more clients without having the proper staff in place to accommodate their needs.  This explains why they lost 4 pro fee auditors in just 3 weeks!  They all quit. Currently they have countless job listings for unsuspecting job seekers for the coding department alone.  High turnover rate.  The current management all need to be terminated and replaced with qualified and educated coding managers (bachelor degree or more) to take over operations. Beware of SPi for revenue cycle management needs!!!!

I just left this job and I imagine this is my recent position. I would not recommended this place as the benefits are changing and there is only one health care plan which for a single person was just outrageous!!! You are to sit at your desk and answer incoming calls for different clients which is fine but they do not train you as they promised during the hiring process. They also changed our hours in less than 24 hours. You are not allowed to stand up which is hard to sit 8 hours and not be able to at least stand in place. They will have you do one thing g one way today and then change it tomorrow because they feel like it. Nothing is consistent so be careful!!!! If management does not like you they will find away to release you. They did this with one rep who was bilingual & was asking questions about the procedures. The management asked him 3 or 4 times if he knew how to read. Rude! And unprofessional! He felt disrespected & eventually walked out as he felt he could not go to management since they were the ones doing it. This place is not what it's cracked up to be since the customer service department opened in Springfield in May until now (Dec 5th) 8 people have walked out, or quit. That tells you something.

The job started off great and had good potential. But after settling and getting to know those around me, this wasn't the job for me. I tried my hardest everyday, never later and never left early. But still wasn't good enough. Management was rude and no one had the slightest clue how to treat people. I was talked down to on a daily basis and showed no respect. Management would talk negative about me and I could hear them. They would act as though I was doing great, but 5 seconds later I would hear them talking about me. Everyday I would come thinking when are they going to get rid of me and after a month of thinking like that, they did. The best part of my job was getting to go home. The benefits of the job were great and they were very giving with prizes. But the turnover ratio is horrible at this job. At least 5 people a week quit and 5 more were always hired the following week. I truly think they don't know how to keep people.

This place was a great place to work until a management shift. The management team now knows nothing about the job and the team is suffering. Time off is not approved and you are made to feel like dirt if you can't work the overtime. Pay stinks. Benefits stink. Atmosphere stinks. Okay place to work if you just need a name to put on your resume... but no opportunity to go any where with this company. The management team is also terrible with follow through.  They always have an excuse why something didn't get done and they refuse to ask for help even if they have no clue what to do... which is 99% of the time. This company needs to clean out their management staff and start again or I give this company another year to keep their heads above water... tops.

On a typical day I punched in at 9am and log in working on a workque dealing with insurance denials, registration and demographics entered incorrectly for patients.  
I will then resubmit electronically or thru mail.  

I also had 2 other WQ's that dealt with secondary and generic payors.

My coworkers were excellent to work with and were very helpful whenever I got stuck or needed help with an account.  
I loved the hours 8:45-4;45.
There really was no hard part about the job.  I liked what I did.
Management was good too.  The two managers that were available were always willing to help.

A typical day was just shifting different things to do, what you may have been told yesterday, was changed before you came in the next day. The position did help my computer skills. I really dont believe there was management..it was unbelievable!! The co-workers..well it was like being in High School all over again. The hardest part of the job was getting accurate training for the job. The most enjoyable part would be the enhancement of computer skills.

The training was terrible no structure at all, we jumped around from topic to topic. I have never worked with a company and not been given a raise after a year; The excuse was that I had not been there long enough. I went on maternity leave and had some complications after giving birth and was not able to return to work on the scheduled date and the company did not hold my position. I have nothing good to say about this place

I would go in to work count my batches separate them then add the in-patient out-patient on each voucher. I learned how to tell if a case was cosmetic then also how to calculate the time and prices for the cosmetic cases. the management was good if I needed anything I was always able to contact them and they would guide me. the coworkers were all friendly and helpful. the hardest part of my job was learning the cosmetic cases but after it was learned it was a breeze.

Working at SPi Healthcare: Company Overview and Reviews

SPi Healthcare

SPi Healthcare Ratings

Salary Satisfaction

Job Seeker Tools

Employer Tools

Browse

Stay Connected