Healthcare Analyst - Zero Balance

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 Healthcare Analyst for our Zero Balance team. As a Healthcare Analyst, you will work closely with your team on assigned project(s) to be a trusted point of contact for our clients and team members. The Healthcare Analyst will support the success of the Zero Balance department by evaluating and reviewing contracts between hospitals and insurance carriers and researching trends and why underpayments are occurring. The ideal candidate for this position will have a demonstrated interest in healthcare and a desire to strengthen their analytical, team, leadership, and client relations skills.

Key Responsibilities

• Review contracts between hospitals and insurance carriers, model claims data, and identify lost revenue
• Contact responsible party for claim payment
• Prepare and forward claim appeal letters with supporting documentation for denial overturn
• Establish working relationships with individuals at insurance companies
• Communicate with teammates and leadership to discuss and identify trends
• Contact insurance companies via phone, email, and written appeal to recover dollars
• Perform analysis on large data sets to identify underpayment and denial trends
• Conduct research on current laws and regulations pertaining to hospital reimbursement methodology
• Contribute to client decks and weekly reports to track progress of project goals and present to leadership
• Strive to maintain a personal hourly rate by meeting project metrics and goals efficiently
• 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:

• Detail-oriented and organized with the ability to manage time effectively and prioritize competing tasks
• Excellent communication skills both written and verbal
• Basic to experienced knowledge of Excel
• Effective documentation skills
• Strong organizational skills
• Possesses analytical capabilities and financial acumen
• Must have private and dedicated workspace that ensures confidentiality
• Understanding of health insurance, EHR’s, EMR’s, and claims handling

Education and Experience

• Undergraduate degree or internship in a healthcare related field preferred
• Healthcare operations experience preferred
• Understanding of auditing and reporting tools such as SQL
• Presentation skills and client relations experience a plus
• 3 + years of experience in Revenue Cycle or Healthcare Claims 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 $25.00 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. Apply tot his job Apply To this Job