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 experienced representatives for hospital claims follow up and appeals for our growing healthcare revenue recovery company. Working on behalf of medical providers, you will be responsible for working with insurance companies for prompt resolution and correct payment of medical claims. Our Denial Resolution Specialists investigate and analyze accounts to properly identify and coordinate insurance benefits and resolve outstanding balances. This is achieved by persuasively arguing through verbal and written appeals that payment should be made to the provider.

What will you provide?

• Minimum of 1 year of revenue cycle/denial management experience, with an understanding of hospital billing, revenue cycle, appeals and collections guidelines and processes.
• Understanding of medical terminology, insurance plan types. interpreting medical records, EOB’s, and standard health industry claim billing forms.
• Basic understanding of ICD-10, HCPCS/CPT coding.
• Understanding of claims processing, payer denials, and appeal process.
• Excellent written skills to include correct use of spelling, grammar, and punctuation as well as strong professional verbal communication skills.
• Maintains strict confidentiality regarding Patient Health Information (PHI) as well as follows HIPAA regulations.
• Customer service experience.
• Ability to work independently as well as in a team environment to achieve business goals. Ability to prioritize and multi-task in a fast-paced environment.
• Intermediate proficiency in computer skills using Office 365 Suite (Microsoft Word, Excel, Outlook software)

Requirements

• Efficient time management shills to be able to meet set goals and priorities.
• Review and analyze documentation including but not limited to client system, payor portals, clinical summaries, provider notes or explanations of benefits (EOB) to obtain knowledge and understanding of account history, past actions, patient treatment course, and current status of claim/denial.
• Review denied claims to determine appropriate action to resolve issues as assigned.
• Communicate via telephone with various insurance carriers to resolve claims issues as needed based on company protocol.
• Investigate and ensure that questions and requests for information are responded to in a timely and professional manner resulting in the accurate resolution of assigned accounts.
• Efficiently and legibly document account information into Aspirion’s Health Information System and/or the client(s) Patient Accounting System using Aspirion’s established account noting criteria to ensure the maximization of collection dollars.
• Consistently and properly update all required fields in the Aspirion Health Information System including but not limited to issue types, root cause, deadline dates, claim number and appeal numbers.
• Generate appeals, including online reconsiderations, based on the dispute reason and contract terms specific to the payor according to Aspirion protocol and program type.
• Request Bill correction and re-submission when appropriate.
• Follow specific payer guidelines for appeals submission.
• Work special projects as needed.
• Work collaboratively and effectively with all other departments and functions to maximize operational efficiency and ensure accuracy and consistency in addressing denial issues.

Education and Experience

• High School Diploma or equivalent
• Bachelor's degree preferred, or equivalent combination of education, training, and experience
• Prior experience in insurance follow-up, claims processing, or medical billing 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.

The US base pay range for this position starts at $16.11 hourly. Individual pay is determined by a number of factors iluding, 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.

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.