Top 741 claims representative Jobs in us remote

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Insurance Billing Special Utilities Rep - Digitech - Remote
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claims representative jobs near us remote

Appeal Writer - Hospital Billing, Denials

Aspirion -
Delray Beach, FL

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Job Details

Full-time
$20 - $26 an hour

Qualifications

Appeals
Customer service
Research
High school diploma or GED
Medical insurance appeals management
Root cause analysis
Insurance claims appeal handling

Full Job Description

About Aspirion

At Aspirion, our mission is simple and meaningful: to help healthcare providers get paid accurately, quickly, and transparently for the care they deliver. By combining deep human expertise with advanced technology and AI, we are helping make healthcare more affordable and accessible for everyone.

For more than two decades, Aspirion has been a market leader in revenue cycle services, specializing in some of the most complex and high impact areas of reimbursement. From challenging denials and zero balance reviews to aged accounts receivable, motor vehicle accident claims, workers’ compensation, Veterans Affairs, and out of state Medicaid, we take on the work that others cannot solve and deliver real results for our clients. At the heart of that success is our team. Our teammates are the foundation of everything we do. With more than 1,400 individuals across the organization, we are united by a shared commitment to delivering exceptional outcomes and creating meaningful impact for the hospitals and health systems we serve.

We are building a results driven environment where high performance, collaboration, and continuous growth are expected and supported. The people who thrive here bring a growth mindset, stay open to new technology, and collaborate across teams to solve problems. You will have the opportunity to work alongside a talented and driven team, engage with innovative technology, and play a direct role in solving complex challenges that matter.

Joining Aspirion means more than taking a job. It means being part of a team that is shaping the future of healthcare operations while making a measurable difference for providers and patients alike.

About the Role

Impact you will make

The Denials Appeals Specialist is responsible for analyzing, drafting, and submitting high-quality appeal letters for denied claims. This role focuses on analyzing denial reasons, correcting claim errors, and submitting appeals in accordance with payer guidelines and organizational standards.
This position plays a critical role in generating organizational revenue by processing denial claims. Through timely and accurate appeals, this role supports improved cash flow, reduced accounts receivable aging, and minimized revenue leakage.
This role supports key revenue cycle initiatives centered on denial reduction, revenue integrity, and operational efficiency. By identifying denial trends, collaborating with cross-functional stakeholders, and improving appeal success rates, the Appeals Specialist contributes to continuous improvement and overall financial performance.

What you will do

Review denied claims and conduct research to identify root cause and appropriate appeal strategy
Prepare and submit electronic and written appeals to insurance carriers
Conduct follow-up with third-party payers to obtain claim status and support 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 the development of comprehensive appeal submissions.

What you will bring

High school diploma or equivalent required
Strong analytical and critical thinking skills with the ability to evaluate denial root causes
Strong written and verbal communication skills with the ability to draft clear and persuasive appeal letters
Ability to multi-task and manage competing priorities
Strong organizational and time management skills
Effective documentation and follow-up skills
Ability to research and interpret insurance information and benefits
Strong attention to detail and accuracy in documentation and appeal preparation
Active listening and customer service skills
Ability to work independently in a fast-paced environment
Reliable attendance and consistent performance
Ability to learn quickly and adapt to changing priorities

What we would like to see

Bachelor’s degree preferred or equivalent combination of education and experience
Experience in revenue cycle management or healthcare operations
Experience in insurance follow-up, denials, or appeals
Familiarity with insurance carriers and payer guidelines
Experience working in a productivity and quality metrics-driven environment
Remote work experience in a structured environment
Experience working across multiple service lines
Demonstrated ability to identify trends and process improvement opportunities
Experience working with EMR systems such as Epic or similar platforms
Prior experience in healthcare revenue cycle or denial management environments

Core expectations

Demonstrate integrity and ethics in day-to-day tasks and decision making, operate effectively in the environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
Support Compliance Program by adhering to policies and procedures pertaining to HIPAA, GLBA, FCRA, and other laws applicable to business practices; this includes becoming familiar with Code of Ethics, attending training as required, notifying management when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
US remote-based colleagues are not permitted to work from a location outside of the United States, at any time, without prior, written approval.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This position may be required to perform other duties. If such work becomes a permanent and regular part of the job, a new description will be prepared.

Aspirion is an Equal Opportunity Employer and does not discriminate on the basis of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, gender identity, military veteran status, or any

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Refine Your Search

claims representative jobs in us remote

Appeal Writer - Hospital Billing, Denials

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