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Exception Template Job in Grove City, Ohio US

Exception Template

Spectraforce Technologies Inc - Grove City, OH

Posted: 10/13/2025 - Expires: 1/11/2026

Job ID: 292746648

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Job Description

Position Title: Clinical - Exception Template
Work Location: Remote National
Assignment Duration: 6 months
Work Schedule: 8 am- 5 pm Monday - Friday, holidays included No OT
Work Arrangement: Remote National

Position Summary: Review claims of previously billed members to make sure they are billed correctly
Background & Context:

Medicare

Monthly Huddles

Team meetings

UM based retro recoupment

Additional workload to optimize performance
Key Responsibilities:

Review claims of previously billed members to make sure they are billed correctly

Create reports for incorrect billing for review by team members

Admin work

Fax letters to providers to request additional information

Organizing spreadsheets

Sorting and delivering mail

Charting of clinicals

Support project claims and inquires

Monitor rebilling
Qualification & Experience:

Required: High School or GED

Preferred: An Associate's Degree in a related field

Required: 1+ year of experience in Directly supporting clinicians

Must haves:

Nice to haves: TrueCare experience

Disqualifiers:

Performance indicators:

Top 3 must-have hard skills

Level of experience with each

Stack-ranked by importance

Candidate Review & Selection

1 Organized

2 Excel

3 Front Desk office experience

Candidate Requirements

Education/Certification

Required: High School or GED

Preferred: An Associate's Degree in a related field

Licensure

Required: 1+ year of experience in Directly supporting clinicians

Preferred:

Years of experience required

Disqualifiers

Best vs. average

Performance indicators

Must haves:

Nice to haves: TrueCare experience

Disqualifiers:

Performance indicators:

Top 3 must-have hard skills

Level of experience with each

Stack-ranked by importance

Candidate Review & Selection

1

Organized

2

Excel

3

Front Desk office experience

SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at nahr@spectraforce.com if you require reasonable accommodation.

Job Summary

Employment Type:
Full Time Employee
Job type:
Federal Contractor
Skill Based Partner:
No
Education Level:
No school grade completed
Work Days:
Mon, Tue, Wed, Thu, Fri
Job Reference Code
85161734
Salary
N/A
Licenses / Certifications:
N/A
Display Recommended WorkKeys®Recommended WorkKeys®:
N/A