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Healthcare Claims Analyst - Remote

Company: Aspirion
Location: Franklin
Posted on: September 20, 2022

Job Description:

What is Aspirion?

Aspirion Health Resources 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, 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 looking for a talented and proficient Healthcare Claims Analyst to join our growing team. The Healthcare Claims Analyst will be engaged in collections, customer service, billing, and administrative support. Claims Analysts will primarily be responsible for reviewing outstanding hospital and physician accounts for resolution. The claims analysts will be responsible for making contact with the patient or insurance for payment, preparing and submitting appeals, preparing and correcting claim errors for payer submission or support of inventory via cash posting.

What will you provide?

  • Contacts responsible party for claim payment
  • Ability to evaluate complex account issues for resolution
  • Work with various payers to establish next action needed for account resolution
  • Prepare and forward claim appeal letters with supporting documentation for denial overturn
  • Follow prepared client guide to determine appropriate next steps on outstanding balance
  • Analyze account balance and perform proper follow up to maximize reimbursement
  • Review accounts recommended for write-off to ensure accounts have aged as determined by corporate/guidelines
  • Establish working relationships with individuals at insurance companies
  • Manage time in such a way to meet individual and team goals for productivity, quality and GAP time on a daily basis
  • Ability to work independently and prioritize workload according to project goals and objectives
  • Work diligently with team spirit and promotion of positive work ethic and environment in mind
  • Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
  • Attend Privacy and Security Training as required by the HIPAA Awareness Program and comply with all guidelines, policies and procedures to assure sensitive or confidential information is protected in accordance with the HIPAA rules and regulations.
  • Other duties as assigned.

    Requirements

    The following is a list of personal and professional competencies that must be present to succeed in this role.
    • 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
      Education and Experience
      • High School Diploma or Equivalent
      • Healthcare operations experience preferred but not required
        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.

        Benefits

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

Keywords: Aspirion, Franklin , Healthcare Claims Analyst - Remote, Healthcare , Franklin, Tennessee

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