Job Description

What is Aspirion?

Aspirion is an industry-leading provider of complex claims management services. We specialize in Motor Vehicle Accidents, Worker’s Compensation, Veterans Administration and Tricare, Complex Denials, Out-of-State Medicaid, Aged AR, and Eligibility and Enrollment Services. Our employees work in an environment that is both challenging and rewarding. We ask a lot out of our team members and in return we offer flexibility, autonomy, and endless opportunities for advancement. As we are committed to growth within the complex claims industry, we offer the same growth to our employees.

What do we need?

We are seeking a talented and proficient Medical Claims Specialist/Analyst to join our growing team. At Aspirion we provide our Analyst 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?

• Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims.
• Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
• Obtain claim status via the telephone, internet, and/or fax.
• Review and understand eligibility of benefits.
• Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment.
• Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers.
• Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned.
• Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary.
• Identify contractual and administrative adjustments.
• Work independently or as a member of a team to accomplish goals.
• Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
• Follow established organization guidelines to perform job functions while staying abreast to changes in policies.
• Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol.
• Uphold confidentiality regarding protected health information and adhere to HIPPA regulation.
• Interact with all levels of staff.
• Cross train in multiple areas and perform all other duties as assigned by management.

Requirements  

• Active listening
• Ability to multi-task
• Exceptional phone etiquette
• Strong written and oral communication skills
• Effective documentation skills
• Strong organizational skills
• Service orientation
• Reading comprehension
• Critical thinking
• Social perceptiveness
• Time management and reliable attendance
• Fast learner
• Willing to work hybrid in Wayne, NJ if possible

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
• Prior experience with Medicaid claims 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.

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.

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