Healthcare Analyst – Zero Balance

🕒 Fevereiro 27

🏄 California – Remoto

🏄 California – Remote

💵 $25 - $32 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧐 Analista

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Aspirion

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2006

⚕️ Seguro de Saúde

🤖 Inteligência Artificial

☁️ SaaS

💰 Series unknown em 2012-02

Healthcare Insurance • Artificial Intelligence • SaaS

Aspirion é uma empresa de gestão de ciclo de receita na área da saúde que auxilia hospitais a recuperar receitas de reivindicações negadas e complexas. A empresa emprega automação por IA e uma plataforma proprietária chamada Compass, composta por advogados, clínicos e engenheiros de IA, todos baseados nos EUA, para reverter negações clínicas, maximizar reembolsos fora da rede, realizar revisões de saldo zero e recuperar variações de pagamento em serviços como gestão de negações, gestão de contas a receber (AR), reivindicações complexas, acidentes de trânsito, compensação de trabalhadores, TRICARE e Medicaid de fora do estado. A Aspirion enfatiza o impacto mensurável de recuperação (mais de $6 bilhões capturados), aumento de coleções para os clientes, certificação HITRUST, prêmios Best in KLAS e parcerias com grandes sistemas de saúde.

Descrição

• Review contracts between hospitals and insurance carriers, model claims data, and identify lost revenue • Contact responsible party for claim payment • Prepare and forward claim appeal letters with supporting documentation for denial overturn • Establish working relationships with individuals at insurance companies • Communicate with teammates and leadership to discuss and identify trends • Contact insurance companies via phone, email, and written appeal to recover dollars • Perform analysis on large data sets to identify underpayment and denial trends • Conduct research on current laws and regulations pertaining to hospital reimbursement methodology • Contribute to client decks and weekly reports to track progress of project goals and present to leadership • Strive to maintain a personal hourly rate by meeting project metrics and goals efficiently • Attend Privacy and Security Training as required by the HIPAA Awareness Program and comply with all guidelines, policies and procedures to assure sensitive or confidential information is protected in accordance with the HIPAA rules and regulations • Other duties as assigned

🎯 Requisitos

• Detail-oriented and organized with the ability to manage time effectively and prioritize competing tasks • Excellent communication skills both written and verbal • Basic to experienced knowledge of Excel • Effective documentation skills • Strong organizational skills • Possesses analytical capabilities and financial acumen • Must have private and dedicated workspace that ensures confidentiality • Understanding of health insurance, EHR’s, EMR’s, and claims handling • Undergraduate degree or internship in a healthcare related field preferred • Healthcare operations experience preferred • Understanding of auditing and reporting tools such as SQL • Presentation skills and client relations experience a plus • 3 + years of experience in Revenue Cycle or Healthcare Claims preferred

🏖️ Benefícios

• health, dental, vision and life insurance upon hire • matching 401k • competitive salaries • advancement opportunities • incentive programs