Claims Representative

Company: Aspirion
Location: Wayne
Posted on: February 23, 2021

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, 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 Claims Analyst to join our growing team. You will be joining an amazing team of individuals who love their job and you will have the opportunity to learn, be challenged, and grow your career. This is an exciting opportunity for someone seeking experience in medical billing and complex claims investigation. 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.RequirementsThe 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* High School Diploma or equivalent * Bachelor's degree preferred, or equivalent combination of education, training, and experience* Prior experience in claims processing or medical billing preferred * Position is full-time and located in Wayne, NJ. Open to entry level employees. Pay starts at $15/hr. BenefitsAt Aspirion Health Resources 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.

Keywords: Aspirion, Wayne , Claims Representative, Other , Wayne, New Jersey