Denials Manager

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Logo of Aspirion

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

• Own and drive team performance, ensuring achievement of key KPIs including throughput, productivity, quality, and cycle time • Monitor daily performance and take action to address gaps, trends, or inconsistencies • Manage day-to-day workflow execution, ensuring work is properly prioritized, assigned, and progressing • Ensure adherence to defined processes, payer guidelines, and quality standards • Coach and develop team members to improve performance, productivity, and quality • Provide ongoing feedback, conduct performance discussions, and reinforce accountability • Identify workflow issues, delays, or bottlenecks and escalate as needed • Support implementation of new tools, processes, and workflow changes

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field — or equivalent combination of education and relevant experience • 3–6+ years of experience in Revenue Cycle Management or related healthcare operations, with exposure to denial management or workflow-driven environments • Experience leading frontline teams in a metrics-driven, performance-focused environment • Demonstrated ability to drive team-level performance, including productivity, quality, throughput, and adherence to cycle time expectations • Experience managing work queues, daily workflow execution, and operational KPIs at the team level • Familiarity with payer guidelines, denial processes, and revenue cycle workflows, with the ability to apply this knowledge to support accurate and efficient execution • Experience identifying performance gaps and taking corrective action to improve team outcomes • Experience supporting the adoption of new processes, tools, or workflow changes within a team environment

🏖️ Benefits

• Health insurance • Professional development opportunities • Paid time off • Flexible work arrangements

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