Appeals Specialist - Hospital Billing, AR at Aspirion – Alameda, California

For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers’ compensation, Veterans Affairs, and out-of-state Medicaid.

At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, “Our teammates are the foundation of our success.” United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time.

We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor.

We are seeking an Appeals Specialist to join our growing team. As an Appeals Specialist, you will contribute to our fast-paced, collaborative environment and will bring your expertise to deliver exceptional billing services for our clients. The ideal candidate will have strong technical skills, excellent communication and healthcare experience in a hospital and a professional billing or coding environment. A successful Appeals Specialist must be able to perform each responsibility satisfactorily. The following responsibilities represent the strong knowledge, skills and abilities required to perform the job successfully and independently.

Key Responsibilities

• 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

• 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

Education and Experience

• High School Diploma or GED required; bachelor's degree preferred
• Previous work from home experience

Benefits

At Aspirion we invest in our employees by offering a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, advancement opportunities, and incentive programs.

The US base pay range for this position starts at $19.00 hourly. Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered. In addition to base salary, a competitive benefits package is offered.

AAP/EEO Statement

Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to.

Please note that this position is contingent upon the successful completion of a pre-employment drug screening and background check. These steps are part of our standard hiring process to ensure a safe and compliant workplace.