Appeal Writer – Hospital Billing, Denials

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $20 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

✏️ Content Writer

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Aspirion

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2006

💼 Consulting

📦 Logistics

🛡️ Insurance

💰 Series unknown on 2012-02

Consulting • Logistics • Insurance

Aspirion is a healthcare revenue cycle management company that helps hospitals recover revenue from denied and complex claims. The company deploys AI automation and a proprietary Compass platform, staffed with US-based attorneys, clinicians, and AI engineers, to overturn clinical denials, maximize out-of-network reimbursement, perform zero-balance reviews, and recover payment variances across services such as denials management, AR management, complex claims, motor vehicle accidents, workers' compensation, TRICARE, and out-of-state Medicaid. Aspirion emphasizes measurable recovery impact (over $6 billion captured), increased collections for clients, HITRUST certification, Best in KLAS awards, and partnerships with large health systems.

📋 Description

• Review denied claims and research root causes and appropriate appeal strategies • Prepare and submit electronic and written appeals to insurance carriers • Follow up with third-party payers on claim status and 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 comprehensive appeal submissions • Contribute to denial reduction, revenue integrity, operational efficiency, improved cash flow, reduced accounts receivable aging, and minimized revenue leakage • Identify denial trends, collaborate with cross-functional stakeholders, and improve appeal success rates

🎯 Requirements

• High school diploma or equivalent required • Strong analytical and critical thinking skills to evaluate denial root causes • Strong written and verbal communication skills to draft clear and persuasive appeal letters • Ability to multi-task and manage competing priorities • Strong organizational and time management skills • Effective documentation and follow-up skills • Ability to research and interpret insurance information and benefits • Strong 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 • Bachelor’s degree preferred or equivalent combination of education and experience • Experience in revenue cycle management or healthcare operations • 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 • 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 • Adherence to HIPAA, GLBA, FCRA, and other applicable laws • US remote-based colleagues must not work outside the United States without prior written approval

🏖️ Benefits

• Indefinite contract role with no predetermined end date, continuing based on ongoing business needs • Remote work • Cross-training across service lines • Continuous growth, feedback, and learning opportunities • Equal Opportunity Employer • Reasonable accommodation for individuals with disabilities