[Hiring] Appeals Specialist - Hospital Billing @Aspirion

Role Description

We are seeking an Appeals Specialist to join our growing team. As an Appeals Specialist, you will contribute to our fast-paced, collaborative environment and will bring your expertise to deliver exceptional billing services for our clients. The ideal candidate will have strong technical skills, excellent communication and healthcare experience in a hospital and a professional billing or coding environment. A successful Appeals Specialist must be able to perform each responsibility satisfactorily. The following responsibilities represent the strong knowledge, skills and abilities required to perform the job successfully and independently.

• Review/work denials from an explanation of benefits (EOB) statement
• Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims
• Compose and submit appeals to insurance companies
• Submit required documentation to insurance companies as requested
• Research claims for information to process bills in a timely manner
• Communicate with insurance companies, adjustors and patients on a regular basis
• Correct errors and resubmit all unprocessed or returned claims to insurance companies
• Correct UB04 and HCFA bills
• Maintain productivity standards
• Perform other duties as assigned by Direct Report

Qualifications

• 2+ years of healthcare billing and denials experience
• Strong healthcare industry knowledge including basic coding principles
• Demonstrated ability to troubleshoot and remedy claims denials or submission errors
• Demonstrated ability to interpret claims data in internal billing software and diverse EHRs
• Prior experience using Microsoft Office Suite

Requirements

• High School Diploma or GED required; bachelor's degree preferred
• Previous work from home experience

Benefits

• Full benefits package, including health, dental, vision and life insurance upon hire
• Matching 401k
• Competitive salaries
• Advancement opportunities
• Incentive programs

The US base pay range for this position starts at $19.00 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.

Company Description

Aspirion has delivered market-leading revenue cycle services for over two decades. 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, united by a shared commitment to client excellence, 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.