Denials Appeals Specialist - Remote Revenue Impact

Aspirion; Oregon; Hybrid; USD 55,000 - 75,000; Full time

Job summary

Aspirion is seeking a Denials Appeals Specialist to analyze, draft, and submit high-quality appeal letters for denied claims. You will identify root causes, correct errors, and file appeals per payer guidelines to support cash flow and reduce accounts receivable aging.

The role emphasizes researching insurance benefits, communicating with carriers, and maintaining precise documentation while adhering to HIPAA and regulatory standards.

Qualifications

• High school diploma or equivalent required
• Strong analytical and critical thinking skills with the ability to evaluate denial root causes
• Strong written and verbal communication skills with the ability to draft clear and persuasive appeal letters
• Ability to multi-task and manage competing priorities
• Strong organizational and time management skills
• Effective documentation and follow-up skills
• Ability to research and interpret insurance information and benefits
• Strong attention to detail and accuracy in documentation and appeal preparation
• Active listening and customer service skills
• Ability to learn quickly and adapt to changing priorities

Responsibilities

• Review denied claims and conduct research to identify root cause and appropriate appeal strategy
• Prepare and submit electronic and written appeals to insurance carriers
• Conduct follow-up with third-party payers to obtain claim status and support resolution
• Investigate insurance benefits, eligibility, and claim information across multiple service lines
• Resolve accounts accurately and efficiently to maximize reimbursement
• Research and verify billing adjustments, contractual terms, and administrative corrections
• Communicate with insurance carriers, hospitals, VA facilities, patients, and internal stakeholders to resolve claims
• Maintain accurate documentation of claim actions, appeal submissions, and outcomes
• Identify contractual and administrative adjustments and take appropriate action
• Work independently and collaboratively to achieve productivity and quality goals
• Follow organizational policies, payer guidelines, and regulatory requirements including HIPAA
• Cross-train across service lines and support additional operational needs as assigned
• Access hospital EMRs and payer portals to retrieve clinical documentation, verify claim details, and support the development of comprehensive appeal submissions

Skills

Analytical skills

Critical thinking

Written communication

Verbal communication

Multi-tasking

Organizational skills

Attention to detail

Insurance research

Independent work

HIPAA compliance

Education

High school diploma or equivalent

Bachelor's degree preferred or equivalent combination of education and experience

Tools

Epic

Job description

Aspirion is seeking a Denials Appeals Specialist to analyze, draft, and submit high-quality appeal letters for denied claims. You will identify root causes, correct errors, and file appeals per payer guidelines to support cash flow and reduce accounts receivable aging.

The role emphasizes researching insurance benefits, communicating with carriers, and maintaining precise documentation while adhering to HIPAA and regulatory standards.