Appeals Specialist – Hospital Billing, Underpayments

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Aspirion

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

• Follow-up with insurance carriers on underpaid claims by phone; complete follow-up actions as advised • Research claim variances in hospital patient accounting systems (EPIC, Meditech, Cerner, Athena) • Draft appeals to insurance carriers on denied or underpaid claims • Review claim detail including coding, billing and insurance information for discrepancies • Run claims data through various pricing software

🎯 Requirements

• High School Diploma required • Hospital billing experience required • Strong healthcare industry knowledge • Ability to troubleshoot and remedy claim submission errors • Demonstrated attention to detail • Excellent written and verbal communication skills • Team-Oriented and Flexible • Creative Problem-solving skills

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