Aspirion

Manager

• Oversee the daily operations of assigned Operations Team members
• Coordinate with the Director, VP of Operations, and People Team on staffing and staff concerns
• Collaborate with RSD, DCD, and Clinical Ops teams to meet or exceed client expectations and resolve issues timely and accurately
• Conduct ongoing research to maintain current industry knowledge
• Participate in client meetings as requested
• Facilitate and participate in internal leadership meetings
• Use reports to manage inventory and ensure service line KPIs are met
• Review team members’ caseloads daily, balance inventory, and adjust assignments to meet goals and metrics
• Review high-dollar inventory to ensure accounts progress efficiently toward payment or resolution
• Conduct monthly reviews of aged accounts
• Ensure payments are properly posted for each client
• Review accounts for closure
• Identify and report hospital and payer trends
• Complete staff evaluations and establish performance goals with the Director of Operations
• Support staff development and training by identifying opportunities, preparing materials, conducting sessions, and mentoring staff
• Manage time-off and PTO requests in the payroll system and shared calendars
• Provide mentoring and guidance to team members
• Monitor staff productivity and quality and discuss findings with team members
• Identify and report productivity issues and staffing needs
• Conduct interviews and make selection decisions
• Conduct team meetings, including agendas and meeting minutes
• Complete other projects and tasks as needed or requested

Manager, Denials – DDI

Total Rewards

• Manage full lifecycle benefits administration for health, dental, vision, HSA, FSA, life, disability, wellness, and other benefit programs
• Serve as a subject matter expert for benefits, wellness, and 401(k) programs
• Partner with carriers and vendors to resolve eligibility, claim, and data issues
• Ensure accurate and timely benefits administration, invoice reconciliations, and HRIS data integrity
• Support benefits strategy initiatives, wellness programs, open enrollment, vendor implementations, and compliance activities
• Provide timely and professional customer service for benefits, wellness, and 401(k) inquiries
• Develop teammate communications to improve benefit program understanding and utilization
• Support ACA, COBRA, HIPAA, ERISA, nondiscrimination testing, audits, and other benefits compliance requirements
• Administer leave programs including FMLA, disability, parental leave, and applicable state leave programs
• Coordinate leave administration with the third-party administrator, payroll, and internal stakeholders
• Manage ADA accommodation requests and coordinate workers’ compensation claim administration
• Support compensation administration, including market pricing, job evaluations, annual compensation planning, incentive programs, compensation surveys, salary structures, and governance
• Serve as a functional expert for Paylocity Benefits & Compensation, Cocoon, Payscale, and related Total Rewards systems
• Partner on strategic initiatives, process improvements, automation opportunities, emerging technologies, and AI-enabled solutions
• Operate with significant independence while partnering with Total Rewards leadership

Senior Total Rewards Partner

Insurance

• Support Appeals Specialists in pursuing proper reimbursement on behalf of hospitals
• Contact insurance companies for claim and appeal submission status
• Move accounts through insurance carriers’ claim processing systems
• Check client systems and payer portals for status when feasible
• Provide accurate and thorough feedback
• Properly notate internal and external systems
• Assist with special client projects
• Demonstrate integrity and ethics in day-to-day tasks and decision making
• Operate effectively within the work environment and work group
• Maintain focus on self-development and seek continuous feedback and learning opportunities
• Support the Compliance Program by adhering to relevant policies and procedures

Insurance Follow-up Representative – Denials

Content Writer

• Review denied claims and research root causes and appropriate appeal strategies
• Prepare and submit electronic and written appeals to insurance carriers
• Follow up with third-party payers on claim status and resolution
• Investigate insurance benefits, eligibility, and claim information across multiple service lines
• Resolve accounts accurately and efficiently to maximize reimbursement
• Research and verify billing adjustments, contractual terms, and administrative corrections
• Communicate with insurance carriers, hospitals, VA facilities, patients, and internal stakeholders to resolve claims
• Maintain accurate documentation of claim actions, appeal submissions, and outcomes
• Identify contractual and administrative adjustments and take appropriate action
• Work independently and collaboratively to achieve productivity and quality goals
• Follow organizational policies, payer guidelines, and regulatory requirements, including HIPAA
• Cross-train across service lines and support additional operational needs as assigned
• Access hospital EMRs and payer portals to retrieve clinical documentation, verify claim details, and support comprehensive appeal submissions
• Contribute to denial reduction, revenue integrity, operational efficiency, improved cash flow, reduced accounts receivable aging, and minimized revenue leakage
• Identify denial trends, collaborate with cross-functional stakeholders, and improve appeal success rates

Appeal Writer – Hospital Billing, Denials

Claims Specialist

• Set-up and process new accounts daily
• Use company systems and technologies to enter content information and verify information received
• Communicate with patients, attorneys, and insurance carriers
• Establish and maintain positive working relationships with internal and external partners
• Ensure accurate and efficient coordination of motor vehicle claim accounts
• Problem-solve while handling complex, high-volume work in a team environment
• Maintain accountability, confidentiality, HIPAA compliance, and professionalism when handling medical and financial information
• Support the Compliance Program by adhering to policies and procedures, attending required training, notifying management of compliance concerns, and handling patient information appropriately

Entry Level Claims Analyst – Motor Vehicle Accident

Client Coordinator

• Coordinate and complete recurring client reports, including acknowledgment, closure, reconciliation, and ad hoc requests
• Prepare, validate, and distribute client-facing spreadsheets and supporting documentation
• Maintain reporting schedules and ensure timely delivery of client commitments
• Assist with end-of-month reporting activities and data validation
• Create and maintain payer escalation and rebill tracking spreadsheets as needed
• Review client systems to verify completion of requested actions and route accounts for follow-up
• Support payment reviews and reconciliation activities
• Partner with Operations, Client Success, Revenue Cycle teams, and other departments
• Track incoming client requests and ensure timely completion and communication
• Assist with onboarding activities, new business templates, client note maintenance, and documentation updates
• Maintain current information and resources within internal knowledge management platforms
• Identify opportunities to improve reporting processes, workflows, and client deliverables
• Analyze trends and recurring client issues to support continuous improvement initiatives
• Ensure work products meet quality, accuracy, and compliance standards
• Produce professional, accurate, and client-ready work products
• Participate in team meetings, training, and special projects as assigned

Client Performance Coordinator

Credentialing Specialist

• Manage initial credentialing, recredentialing, and provider enrollment processes
• Prepare, submit, and monitor credentialing applications to hospitals, health plans, government payers, and other credentialing entities
• Maintain accurate and current provider information in credentialing databases
• Track credential expirations, including licenses, certifications, DEA registrations, malpractice insurance, and other required documentation
• Obtain renewal documentation proactively to prevent credentialing lapses
• Monitor application status and follow up with payers and credentialing organizations
• Maintain compliance with federal, state, payer, and organizational credentialing requirements
• Conduct primary source verification according to accreditation and regulatory standards
• Review provider files for completeness and accuracy before submission
• Assist with provider enrollment, revalidation, and demographic updates with Medicare, Medicaid, and commercial insurance carriers
• Respond to credentialing inquiries from providers, leadership, clients, and payer representatives
• Prepare credentialing reports and provide status updates to leadership
• Support audits and accreditation reviews by maintaining organized and compliant provider files
• Collaborate with internal departments to resolve credentialing and enrollment issues affecting provider participation or reimbursement
• Maintain confidentiality of sensitive provider and organizational information
• Meet credentialing and enrollment timelines, maintain provider participation without lapses, ensure record accuracy, comply with requirements, and achieve service-level agreements and performance metrics