Appeals Specialist - Hospital Billing, Underpayments at Aspirion

Atlanta, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

17 Aug, 26

Salary

26.0

Posted On

19 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Hospital Billing, Claims Follow-up, Insurance Appeals, Claim Variance Research, Medical Coding Review, Pricing Software, Troubleshooting, Written Communication, Verbal Communication, Problem Solving, Attention To Detail, Healthcare Industry Knowledge

Industry

Hospitals and Health Care

Description

Description About Aspirion At Aspirion, our mission is simple and meaningful: to help healthcare providers get paid accurately, quickly, and transparently for the care they deliver. By combining deep human expertise with advanced technology and AI, we are helping make healthcare more affordable and accessible for everyone. For more than two decades, Aspirion has been a market leader in revenue cycle services, specializing in some of the most complex and high impact areas of reimbursement. From challenging denials and zero balance reviews to aged accounts receivable, motor vehicle accident claims, workers’ compensation, Veterans Affairs, and out of state Medicaid, we take on the work that others cannot solve and deliver real results for our clients. At the heart of that success is our team. Our teammates are the foundation of everything we do. With more than 1,400?individuals across the organization, we are united by a shared commitment to delivering exceptional outcomes and creating meaningful impact for the hospitals and health systems we serve. We are building a results driven environment where high performance, collaboration, and continuous growth are expected and supported. The people who thrive here bring a growth mindset, stay open to new technology, and collaborate across teams to solve problems. You will have the opportunity to work alongside a talented and driven team, engage with innovative technology, and play a direct role in solving complex challenges that matter. Joining Aspirion means more than taking a job. It means being part of a team that is shaping the future of healthcare operations while making a measurable difference for providers and patients alike. About the Role What you will do 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 What you will bring 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 required Hospital billing experience required What we would like to see Bachelor's degree preferred Previous work from home experience Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Disclaimer The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This position may be required to perform other duties. If such work becomes a permanent and regular part of the job, a new description will be prepared. Aspirion is an Equal Opportunity Employer and does not discriminate on the basis of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, gender identity, military veteran status, or any other characteristic protected by law.

Responsibilities

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.