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