Appeals Specialist – Hospital Billing, OON

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $19 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

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Aspirion

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2006

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

💰 Series unknown on 2012-02

Healthcare Insurance • Artificial Intelligence • SaaS

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/work denials from an explanation of benefits (EOB) statement • Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims • Compose and submit appeals to insurance companies • Submit required documentation to insurance companies as requested • Research claims for information to process bills in a timely manner • Communicate with insurance companies, adjustors and patients on a regular basis • Correct errors and resubmit all unprocessed or returned claims to insurance companies • Correct UB04 and HCFA bills • Maintain productivity standards • Perform other duties as assigned by Direct Report

🎯 Requirements

• 2+ years of healthcare billing and denials experience • Strong healthcare industry knowledge including basic coding principals • Demonstrated ability to troubleshoot and remedy claims denials or submission errors • Demonstrated ability to interpret claims data in internal billing software and diverse EHR’s • Prior experience using Microsoft Office Suite • High School Diploma or GED required; bachelor's degree preferred • Previous work from home experience

🏖️ Benefits

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