Remote Eligibility Specialist
3 weeks ago
What is Aspirion?
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.
What do we need?
We are seeking a proficient Eligibility Specialist to join our growing team. The Eligibility Specialist will perform clerical and administrative functions related to the verification of third party medical insurance coverage. This is an exciting role for the healthcare professional with knowledge of federal and private insurance coverages.
What will you provide?
- Upon referral, where possible, interview patients, as authorized by our client.
- Assist patients who appear to qualify for financial assistance programs in completing the appropriate Federal, State, or County application(s) or other appropriate application(s), which shall include obtaining the necessary verification(s) and support documentation to substantiate eligibility.
- Upon patient’s consent, represent the patient at interviews required by the relevant Federal, State or County agency(ies) or department(s), and escort the patient to the face to face interview,(if necessary)
- Upon the patient's consent represent the patient at a Fair hearing or appeal denials in any other manner as deemed acceptable by Aspirion in it's sole discretion.
- Discover and verify third party coverage (commercial, military, government, workers compensation, etc.) responsible for payment of claim.
- Aspirion shall provide client with a series of management reports conveying performance information such as account activity and payments received. These reports will keep client updated on its referral activity.
- Aspirion eligibility specialists will document all activity and application statuses in the hospital system for review
- Must be able to walk, sit, and stand for extended periods of time
Requirements
- Strong networking and relationship skills.
- Excellent interpersonal and communication skills.
- Strong work ethic and commitment to success.
- Strong Computer skills
- Ability to work and build relationships with Government State/County workers, social workers and administration staff
Education and Experience
- High School Diploma or equivalent required
- Bachelor degree or equivalent work experience preferred
- Eligibility experience is preferred
Benefits
At Aspirion 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.
The US base pay range for this position starts at $18.00 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.
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