Remote Denials Appeals Specialist

Aspirion; Delray Beach (FL); On-site; USD 55,000 - 75,000; Full time

Job summary

Aspirion in Delray Beach, FL is seeking a Denials Appeals Specialist to analyze denial reasons, draft persuasive appeal letters, and submit appeals to insurance carriers. Your work will support cash flow, reduce aging, and minimize revenue leakage through timely, high-quality submissions.

Ideal candidates have strong analytical and communication skills, attention to detail, and the ability to work independently in a fast-paced HIPAA-compliant environment.

Qualifications

• High school diploma or equivalent.
• Analytical and critical thinking to evaluate denial root causes.
• Strong written and verbal communication to draft appeal letters.
• Ability to multi-task and manage competing priorities.
• Organizational and time management skills.
• Documentation and follow-up skills.
• Ability to research and interpret insurance information and benefits.
• Attention to detail and accuracy in documentation and appeal preparation.
• Active listening and customer service skills.
• Ability to work independently in a fast-paced environment.
• Reliable attendance and consistent performance.
• Ability to learn quickly and adapt to changing priorities.

Responsibilities

• Review denied claims to identify root cause and appropriate appeal strategy.
• Prepare and submit electronic and written appeals to insurance carriers.
• 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

Communication skills

Multi-tasking

Organization

Documentation

Research insurance

Attention to detail

Active listening

Independent work

Reliability

Adaptability

Education

High school diploma

Bachelor’s degree preferred

Job description

Aspirion in Delray Beach, FL is seeking a Denials Appeals Specialist to analyze denial reasons, draft persuasive appeal letters, and submit appeals to insurance carriers. Your work will support cash flow, reduce aging, and minimize revenue leakage through timely, high-quality submissions.

Ideal candidates have strong analytical and communication skills, attention to detail, and the ability to work independently in a fast-paced HIPAA-compliant environment.