Remote Appeals Specialist Medical Insurance Denials

Aspirion Health Resources LLC; Atlanta (GA); Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is on the lookout for a skilled Denials Follow-up Analyst to enhance their revenue cycle services. This role offers a unique opportunity to engage in medical billing, claims investigation, and denials resolution, all within a supportive environment that encourages personal and professional growth. The ideal candidate will thrive in a fast-paced setting, utilizing their strong communication and organizational skills to maximize reimbursement and ensure swift account resolution. Join a dynamic team that values innovation and excellence, and take your career to new heights while contributing to the success of healthcare partners.

Benefits

Health insurance

Dental insurance

Vision insurance

Life insurance

401k matching

Competitive salaries

Incentive programs

Qualifications

• High School Diploma required; Bachelor's preferred.
• 2+ years experience in insurance follow-up or denials preferred.

Responsibilities

• Submit billing and conduct follow-up with third-party carriers.
• Investigate insurance benefits and resolve accounts efficiently.
• Demonstrate excellent customer service and communication skills.

Skills

Active listening

Multi-tasking

Phone etiquette

Written communication

Oral communication

Documentation skills

Organizational skills

Service orientation

Reading comprehension

Critical thinking

Social perceptiveness

Time management

Reliability

Fast learner

Education

High School Diploma

Bachelor's degree preferred

2+ years of experience in Insurance follow-up

Job description

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 a talented and proficient Denials Follow-up Analyst to join our growing team. At Aspirion we provide our Analyst the opportunity to learn, be challenged, and grow your career within the Revenue Cycle industry. This is an exciting opportunity for someone seeking a career in medical billing, claims investigation, insurance follow-up, and denials resolution. Ideal candidates will possess claims processing experience and a competitive desire to maximize returns.

What will you provide?

• Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims.
• Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
• Obtain claim status via the telephone, internet, and/or fax.
• Review and understand eligibility of benefits.
• Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment.
• Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers.
• Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned.
• Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary.
• Identify contractual and administrative adjustments.
• Work independently or as a member of a team to accomplish goals.
• Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
• Follow established organization guidelines to perform job functions while staying abreast to changes in policies.
• Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol.
• Uphold confidentiality regarding protected health information and adhere to HIPPA regulation.
• Interact with all levels of staff.
• Cross train in multiple areas and perform all other duties as assigned by management.

Requirements

• Active listening
• Ability to multi-task
• Exceptional phone etiquette
• Strong written and oral communication skills
• Effective documentation skills
• Strong organizational skills
• Service orientation
• Reading comprehension
• Critical thinking
• Social perceptiveness
• Time management and reliable attendance
• Fast learner

Education and Experience

• High School Diploma or equivalent
• Bachelor's degree preferred, or equivalent combination of education, training, and experience
• 2 or more years of experience in Insurance follow-up, denials, or appeals preferred
• Remote work experience preferred

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.