Aspirion helps healthcare providers get paid accurately, quickly, and transparently by combining human expertise with advanced technology and AI. The company specializes in complex revenue cycle services, including denials, zero balance reviews, aged accounts receivable, motor vehicle accident claims, workers’ compensation, Veterans Affairs, and out-of-state Medicaid.
The Denials Appeals Specialist is responsible for analyzing, drafting, and submitting appeal letters for denied claims. This role focuses on reviewing denial reasons, correcting claim errors, and submitting appeals according to payer guidelines and organizational standards.
The position plays an important role in revenue generation by helping reduce accounts receivable aging, minimize revenue leakage, and improve cash flow. It also supports denial reduction, revenue integrity, operational efficiency, and continuous improvement across revenue cycle operations.
Responsibilities include reviewing denied claims, researching root causes, preparing electronic and written appeals, following up with payers, investigating benefits and eligibility, resolving accounts, verifying billing adjustments and contractual terms, communicating with internal and external stakeholders, documenting claim activity, and accessing hospital EMRs and payer portals to support appeal development.
Required
- High school diploma or equivalent
- Strong analytical and critical thinking skills
- Strong written and verbal communication skills
- Ability to multitask 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
- 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
Preferred
- Bachelor’s degree 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 in productivity and quality metrics-driven environments
- Remote work experience in a structured environment
- Experience working across multiple service lines
- Ability to identify trends and process improvement opportunities
- Experience with EMR systems such as Epic or similar platforms
- Prior healthcare revenue cycle or denial management experience
Core expectations
- Demonstrate integrity and ethics in day-to-day tasks and decision making
- Support compliance programs and follow HIPAA, GLBA, FCRA, and other applicable laws
- Maintain confidentiality and complete required training
- US remote-based colleagues may not work outside the United States without prior written approval
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago