Remote Denials Appeals Specialist | Revenue Recovery

Aspirion; Delray Beach (FL); À distance; USD 28 000 - 36 000; Plein temps

Avantages offerts par ce poste

Remote work experience in a structured

Résumé du poste

Aspirion is hiring a Denials Appeals Specialist to analyze denial reasons, draft and submit high-quality appeal letters, and correct claim errors in accordance with payer guidelines and organizational standards.

You will help improve cash flow, reduce aging of accounts receivable, and minimize revenue leakage by generating timely and accurate appeals and supporting cross-functional collaboration to boost appeal success rates.

Qualifications

• High school diploma or equivalent required.
• Bachelor's degree preferred or equivalent combination of education and experience.
• Experience in revenue cycle management or healthcare operations is a plus.
• Experience in insurance follow-up, denials, or appeals.
• Familiarity with insurance carriers and payer guidelines.
• Experience working in a productivity and quality metrics-driven environment.
• Remote work experience in a structured environment.
• Experience working across multiple service lines.
• Demonstrated ability to identify trends and process improvement opportunities.
• Experience working with EMR systems such as Epic or similar platforms.
• Prior experience in healthcare revenue cycle or denial management environments.

Responsabilités

• 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.

Connaissances

Analytical thinking

Written communication

Verbal communication

Multi-tasking

Organizational skills

Documentation

Research skills

Attention to detail

Independent work

Formation

Bachelor's degree preferred

High school diploma or equivalent

Outils

Epic

Description du poste

Aspirion is hiring a Denials Appeals Specialist to analyze denial reasons, draft and submit high-quality appeal letters, and correct claim errors in accordance with payer guidelines and organizational standards.

You will help improve cash flow, reduce aging of accounts receivable, and minimize revenue leakage by generating timely and accurate appeals and supporting cross-functional collaboration to boost appeal success rates.