Remote Denial Resolution Specialist

What is Aspirion?

Aspirion is an industry-leading provider of complex claims management services. We specialize in Motor Vehicle Accidents, Worker's Compensation, Veterans Administration and Tricare, Complex Denials, Out-of-State Medicaid, and Eligibility and Enrollment Services. Our employees work in an environment that is both challenging and rewarding. We ask a lot out of our team members and in return we offer flexibility, autonomy, and endless opportunities for advancement. As we are committed to growth within the complex claims industry, we offer the same growth to our employees.

What do we need?

We are seeking experienced claims representatives for our growing healthcare revenue recovery company. Working on behalf of medical providers, you will be responsible for working with insurance companies for prompt resolution and correct payment of medical claims.

What will you provider?

• Primarily telephone communications with carriers to resolve claims
• Documenting account information into our Health Information System and/or Hospital Patient accounting system
• Recognizes when additional assistance is needed to resolve claims and escalates appropriately and timely through defined communication and escalation channels.
• Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures.
• Maintains strict confidentiality regarding Patient Health Information (PHI) as well as follows HIPAA regulations.
  
  

Requirements

• An understanding of hospital billing and/or insurance follow-up/collections preferred
• Customer service experience preferred
• Experience with healthcare receivables, insurance claims, denial, and appeal processing a plus
• Knowledge and skill navigating insurance portals a plus
• Strong written skills to include correct use of spelling, grammar, and punctuation as well as strong professional verbal communication skills.
• Experience using Office 365 Suite (Microsoft Word, Excel, Outlook software)
  
  

This is a non-exempt entry level position.

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.

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.