What are the responsibilities and job description for the Appeals Specialist II - Zero Balance position at Aspirion Health Resources LLC?
What is Aspirion?
For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers’ compensation, Veterans Affairs, and out-of-state Medicaid.
At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, “Our teammates are the foundation of our success.” United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time.
We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor.
What do we need?
We are seeking an Appeals Specialist II to join our growing team. As an Appeals Specialist II, you will be exposed to the complex reimbursement methodology between hospitals and insurance companies. Appeals Specialists work closely with assigned project teams on the specialized retrospective recovery process. You will be exposed to the revenue cycle process and various provider clients and systems.
What will you provide?
- Follow-up with insurance carriers on underpaid claims by phone; complete follow-up actions as advised
- Research claim variances in hospital patient accounting systems (EPIC, Meditech, Cerner, Athena)
- Draft appeals to insurance carriers on denied or underpaid claims
- Review claim detail including coding, billing and insurance information for discrepancies
- Run claims data through various pricing software
Requirements
- Strong healthcare industry knowledge
- Ability to troubleshoot and remedy claim submission errors
- Demonstrated attention to detail
- Excellent written and verbal communication skills
- Team-Oriented and Flexible
- Creative Problem-solving skills
Education and Experience
- High School Diploma or GED required; bachelor's degree preferred
- Healthcare billing knowledge preferred
- Previous Work from Home experience
Benefits
At Aspirion we invest in our employees by offering unlimited opportunities for advancement, a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, and incentive programs.
The US base pay range for this position starts at $17.00 hourly. Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered. In addition to base salary, a competitive benefits package is offered.
AAP/EEO Statement
Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to.
Salary : $17 - $23
