Insurance Follow-Up Specialist - Zero Balance at Aspirion

Alameda, California, United States -

Full Time

Start Date

Immediate

Expiry Date

17 May, 26

Salary

20.0

Posted On

16 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Follow Up, Appeals Submission, Research, Rebilling, Adjustments, Payer Portals Navigation, Critical Thinking, Computer Literacy, Troubleshooting, EOB Interpretation, EFT Processing, ERA Processing, Work Queue Management, Team Collaboration, Adaptability, Communication

Industry

Hospitals and Health Care

Description

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. 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. We are seeking an engaged and driven Follow-Up Representative for our Zero Balance team. A successful Follow-Up Representative will support the success of a high-volume, fast paced revenue cycle process by helping to follow up on accounts in a timely manner, navigate independently through multiple applications, payer portals and other websites, express critical thinking in independent work, and demonstrate high capabilities of computer literacy when independently troubleshooting issues or working with tech support. Key Responsibilities Completes appropriate actions needed for timely claims follow up and effective appeals submission including research, rebilling, adjustments, transfers to next responsible parties, and escalating payer issues to Leadership Corresponds professionally with third party commercial insurance payers to obtain information required for effective claims resolution Uses provided references materials to troubleshoot claims issues and increase understanding of claims resolution techniques. Reference payer websites as needed Working knowledge of EOBs, EFTs and ERAs, patient liabilities, and insurance or third-party correspondences Completes assigned work queues or tasks within timeframes assigned by Leadership Communicates and collaborates well with other team members Assists other projects, teams and staff as needed or assigned Requirements Ability to adapt within a high volume, fast paced revenue cycle team Ability to interpret EOBs, denials, and appeals Ability to efficiently call insurance payers Utilize websites and payer portals when applicable Express critical thinking in independent work Demonstrate high capabilities of computer literacy Must be adaptable and able to work with a diverse team and client base Work within deadlines while remaining flexible and organized Excellent communication, both written, verbal and demonstrate listening skills Ability to learn within a 100% remote environment Secure working location with no interruptions during working hours High proficiency with standard office equipment and software such as Microsoft Office products, knowledge of Health Information Systems, 10-key, multi-line telephone Education and Experience High school diploma or equivalent required; bachelor's degree preferred Healthcare billing knowledge preferred Previous work from home experience preferred Benefits At Aspirion we invest in our employees by offering a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, advancement opportunities, 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. 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.

Responsibilities

The representative will complete necessary actions for timely claims follow-up and effective appeals submission, which includes research, rebilling, adjustments, transfers, and escalating payer issues. They must professionally correspond with third-party commercial insurance payers to gather required information for claims resolution.