Appeals Specialist - Zero Balance

Description 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.

We are seeking an Appeals Specialist II to join our growing team. As an Appeals Specialist II, you will be exposed to the complex reimbursement methodology between hospitals and insurance companies. Appeals Specialists work closely with assigned project teams on the specialized retrospective recovery process. You will be exposed to the revenue cycle process and various provider clients and systems.

• 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

• 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

• High School Diploma or GED required; bachelor's degree preferred
• Healthcare billing knowledge preferred
• Previous Work from Home experience

At Aspirion we invest in our employees by offering a full benefits package, including health, dental, vision and life insurance upon hire, 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.

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.