Appeal Resolution Specialist jobs in Nevada

What is Aspirion?

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.

What do we need?

We are seeking a talented and proficient Denial Resolution Specialist to join our growing team. At Aspirion we provide our Specialists the opportunity to learn, be challenged, and grow your career within the Revenue Cycle industry. This is an exciting opportunity for someone seeking experience in medical billing, claims investigation, insurance follow-up, and denial resolution. Ideal candidates will possess claims processing experience and a competitive desire to maximize returns.

What will you provide?

• Primarily telephone communications with carriers to resolve claims
• Documenting account information into our Health Information System and/or Hospital Patient accounting system
• Recognizes when additional assistance is needed to resolve claims and escalates appropriately and timely through defined communication and escalation channels.
• Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures.
• Maintains strict confidentiality regarding Patient Health Information (PHI) as well as follows HIPAA regulations.

Requirements 

• An understanding of hospital billing and/or insurance follow-up/collections
• Customer service experience
• Experience with healthcare receivables, insurance claims, denial, and appeal processing
• Knowledge and skill navigating insurance portals
• Strong written skills to include correct use of spelling, grammar, and punctuation as well as strong professional verbal communication skills.
• Experience using Office 365 Suite (Microsoft Word, Excel, Outlook software)
• Willing to work on-site in Las Vegas, NV

Education and Experience

• High School Diploma or equivalent
• Bachelor's degree preferred, or equivalent combination of education, training, and experience
• Prior experience in Insurance follow-up, claims processing, or medical billing preferred

Benefits

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

The US base pay range for this position starts at $18.00 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.