The Appeals Specialist is responsible for reviewing EOB statements, analyzing A/R reports, and submitting appeals to insurance companies to resolve unpaid claims. They must correct billing errors on UB04 and HCFA forms and communicate regularly with adjustors and patients.
Aspirion
15 Remote Job Openings at Aspirion
The Clinical Nurse Specialist resolves complex clinical denials by translating medical documentation into evidence-based appeal arguments to drive reimbursement. They analyze denial trends to support prevention strategies and serve as a clinical subject matter expert for the team.
The role manages payer, plan, and claim-routing data to support operational workflows and automation across the organization. It involves maintaining data integrity, configuring submission rules, and partnering with cross-functional teams to improve workflow performance.
The specialist will contact insurance carriers to follow up on claim and appeal statuses to ensure proper reimbursement for hospitals. They are responsible for navigating payer portals and documenting all interactions within internal and external systems.
Leads the day-to-day execution of denial management workflows for a team of 8-15 contributors to ensure efficiency and quality. Manages real-time work distribution, monitors performance metrics, and resolves bottlenecks to maintain high-volume throughput.
The Staff Assistant III handles administrative tasks by preparing and submitting required documentation to insurance payers for appeals and reconsiderations. They are responsible for maintaining accurate internal records and ensuring adherence to HIPAA regulations to optimize claim reimbursement.
The role involves analyzing denied healthcare claims to identify root causes and drafting persuasive appeal letters to insurance carriers. The specialist is responsible for maximizing reimbursement by resolving accounts and maintaining accurate documentation of all claim actions.
Serve as a financial business partner to key service line leaders, providing support related to forecasting, budget analysis, and operational KPIs. Develop executive-level presentation materials and support financial modeling to drive business strategy and improve efficiency.
The Resolution Specialist is responsible for following up on high-volume revenue cycle accounts and submitting effective appeals to ensure timely claims resolution. This includes researching underpayments, navigating payer portals, and collaborating with team members to resolve complex billing issues.
The role involves following up with insurance carriers regarding underpaid claims and researching claim variances within hospital accounting systems. The specialist will draft appeals for denied claims and review billing and coding discrepancies using pricing software.
Design and operate security controls for AWS and Kubernetes environments, translating compliance requirements into automated guardrails. Partner with infrastructure and application teams to integrate secure SDLC practices and manage vulnerability remediation.
Own the end-to-end design of BI analytics experiences, ranging from operational dashboards to executive reporting. Collaborate with product managers and developers to ensure data visualizations drive business decisions and improve user workflows.
The Sr Business Intelligence Product Manager will own the problem space for a BI team transitioning to a product-oriented model, managing intake and demand while ensuring proactive engagement with stakeholders. Responsibilities include defining product strategy, participating in delivery processes, and measuring outcomes to ensure alignment with business needs.
The Process & Adoption Specialist will maintain SOPs, develop training materials, and ensure workflow compliance across operations. They will act as a liaison between teams to drive the adoption of new processes, automation, and product enhancements.
The Senior Director is responsible for driving end-to-end performance across the denials lifecycle, including throughput, cycle time, and revenue realization. They will lead cross-functional initiatives, optimize workflows, and build organizational capability to ensure scalable growth and operational excellence.