Sr. Medical Claims Specialist Physician Billing (On-site)

Full-time

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 1400 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

Impact you will make

Were looking for a Senior Claims Analyst to submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims. Obtain information from insurance representatives and policyholders to verify the accuracy and completeness of information on claims. Resubmit claims and related documents including appeals when necessary. Ideal candidates will have a background in physician billing.

PLEASE NOTE: This position is ON-SITE at our office located at 1506 6th Street Columbus GA.

What you will do

• Review and submit medical claims to insurance companies and government payers.
• Verify patient demographics insurance eligibility and benefits.
• Enter and maintain accurate patient and billing information.
• Review insurance and patient payments are posted accurately.
• Review denied and rejected claims; submit corrected claims or appeals.
• Follow up on unpaid and underpaid accounts timely.
• Contact insurance companies regarding claim status eligibility and payment issues.
• Reviews of accurate billing records and documentation.
• Protect patient information and follow HIPAA requirements.
• Communicate with attorneys healthcare providers insurance representatives and patients regarding billing issues.
• Meet productivity accuracy and collection goals.

What you will bring

• High school diploma or equivalent
• 3 years prior healthcare revenue cycle/medical billing experience is required
• Knowledge of medical terminology insurance policies and billing procedures.
• Familiarity with ICD-10 CPT and HCPCS coding.
• Strong attention to detail and organizational skills.
• Ability to work with electronic health records (EHR) and billing software.
• Understanding HIPAA and patient privacy requirements.
• Good communication and customer service skills.
• Work independently and follow-through on assignments with minimal direction
• Analytical skills and the ability to make appropriate decisions independently
• Prioritize assignments to complete work in a timely manner adjusting as circumstances dictate
• Effective organizational time-management and detail-oriented skills to handle multiple tasks and ensure accuracy

What we would like to see

• Bachelors Degree or equivalent experience
• Experience in medical billing healthcare administration or a related field
• Experience focused on physician billing

Core Expectations

• Demonstrate integrity and ethics in day-to-day tasks and decision making operate effectively in the environment and the environment of the work group maintain a focus on self-development and seek continuous feedback and learning opportunities
• Support Compliance Program by adhering to policies and procedures pertaining to HIPAA GLBA FCRA and other laws applicable to business practices; this includes becoming familiar with Code of Ethics attending training as required notifying management when there is a compliance concern or incident HIPAA-compliant handling of patient information and demonstrable awareness of confidentiality obligations
• US remote-based colleagues are not permitted to work from a location outside of the United States at any time without prior written approval.

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.

#PME

Salary Description

$18.83 - $23.04 per hour

Required Experience:

Senior IC