Aspirion

Analyst

• Review contracts between hospitals and insurance carriers, model claims data, and identify lost revenue
• Contact responsible party for claim payment
• Prepare and forward claim appeal letters with supporting documentation for denial overturn
• Establish working relationships with individuals at insurance companies
• Communicate with teammates and leadership to discuss and identify trends
• Contact insurance companies via phone, email, and written appeal to recover dollars
• Perform analysis on large data sets to identify underpayment and denial trends
• Conduct research on current laws and regulations pertaining to hospital reimbursement methodology
• Contribute to client decks and weekly reports to track progress of project goals and present to leadership
• Strive to maintain a personal hourly rate by meeting project metrics and goals efficiently
• Attend Privacy and Security Training as required by the HIPAA Awareness Program and comply with all guidelines, policies and procedures to assure sensitive or confidential information is protected in accordance with the HIPAA rules and regulations
• Other duties as assigned

Healthcare Analyst

Manager

• Own and drive team performance, ensuring achievement of key KPIs including throughput, productivity, quality, and cycle time
• Monitor daily performance and take action to address gaps, trends, or inconsistencies
• Manage day-to-day workflow execution, ensuring work is properly prioritized, assigned, and progressing
• Ensure adherence to defined processes, payer guidelines, and quality standards
• Coach and develop team members to improve performance, productivity, and quality
• Provide ongoing feedback, conduct performance discussions, and reinforce accountability
• Identify workflow issues, delays, or bottlenecks and escalate as needed
• Support implementation of new tools, processes, and workflow changes

Denials Manager

Technical Account Manager

• Serve as the primary technical point of contact for client's post-implementation, supporting ongoing engagement and relationship health
• Act as the technical liaison in client-facing meetings, including discussions related to file workflows, integrations, reporting outputs, and system functionality
• Translate client technical needs into clear internal requirements, user stories, and execution plans
• Monitor and validate the daily health of inbound client placement files and data feeds, ensuring timely receipt, accurate formatting, and successful system processing
• Track and analyze daily placement volumes, identifying anomalies (spikes/drops) and coordinating resolution with Operations and Client Success
• Own the end-to-end coordination and resolution of technical issues, including file ingestion failures, reporting discrepancies, and workflow interruptions
• Manage vendor-related file workflows (e.g., Healthfuse, Huron, and other partners), including onboarding new integrations and maintaining ongoing performance
• Identify opportunities to reduce manual processes and improve operational efficiency
• Lead client upgrades, system enhancements, and process improvements in coordination with Implementations and Client Success teams
• Act as the central connector across Product, Data, Operations, IT, Credentialing, Implementations, and Client Success teams

Senior Technical Account Manager

Communications

• Develop and execute Aspirion's internal communications strategy and enterprise communications calendar.
• Draft and distribute company-wide communications, executive announcements, Town Hall content, and People Team communications.
• Partner with executive leaders to develop messaging that communicates business priorities, organizational updates, and strategic initiatives.
• Manage Aspirinet by creating engaging content, maintaining resources, and continuously improving the teammate experience.
• Create manager communication toolkits that support consistent communication across departments and service lines.
• Lead communication planning for People initiatives including policy updates, organizational changes, engagement surveys, benefits communications, and other enterprise programs.
• Coordinate and promote teammate engagement initiatives including engagement surveys, recognition programs, appreciation events, and culture campaigns.
• Manage and evolve Aspirion's recognition program by developing communications, promoting participation, and celebrating teammate achievements.
• Identify and tell compelling stories that showcase teammates, business successes, customer impact, and company milestones.
• Measure communication effectiveness through engagement metrics, participation data, and teammate feedback, using insights to continuously improve communications.

Communications and Teammate Engagement Manager

General

• Review and analyze medical records and denial rationale to develop clinically supported appeal arguments
• Interpret and apply clinical guidelines (e.g., InterQual, Milliman) to support medical necessity determinations
• Prepare, edit, and enhance appeals using internal tools (e.g., DOCIQ)
• Accurately assign denial root causes and complete nurse review reporting
• Identify denial trends and escalate insights to support prevention strategies and process improvement
• Document all case activity clearly within internal and client systems
• Participate in quality control reviews and provide feedback to improve appeal effectiveness
• Collaborate with operations and leadership to meet client expectations and performance goals

Clinical Nurse Specialist

Director

• Drive portfolio-level performance across assigned clients, ensuring alignment to revenue, throughput, cycle time, and quality targets
• Accelerate new client ramp and stabilization, reducing time to standard operating performance
• Eliminate silos by aligning cross-functional teams to deliver consistent, predictable outcomes
• Improve client satisfaction through proactive performance management and structured issue resolution
• Enable scalability through standardization, process improvement, and automation adoption

Director, Client Performance – Integration

Claims Specialist

• Set-up and process new accounts daily
• Effectively use company systems and technologies to successfully enter content information and verify information received
• Effectively communicate with patients, attorneys, and insurance carriers
• Establish and maintain a positive working relationship with internal and external partners
• Display quality work, integrity, and ethical decision making during all work assignments
• Display the ability to problem-solve
• Work in a team environment handling complex high-volume work
• Adhere to high standards of accountability, confidentiality (HIPAA compliant), and professionalism while dealing with medical and financial information

Claims Analyst – Motor Vehicle Accident

• Own end-to-end credentialing for clinicians/providers across multiple states and payers (as applicable), including new credentialing, recredentialing, and ongoing maintenance.
• Supervise and coach credentialing staff to maintain high performance standards and ensure timely provider onboarding
• Collaborate with client success team and directly with clients to streamline credentialing and onboarding workflows to build and sustain client relationships
• Create and maintain SOPs, checklists, and QA processes to ensure accuracy, completeness, and audit readiness.
• Partner with HR and Recruiting teams to align hiring timelines with credentialing processes
• Create and maintain tracking reports, performance standards, and measure outcomes in collaboration with the Credentialing and service lines
• Collaborate with Compliance/Legal to ensure adherence to external compliance where required and internal policies.
• Promote continuous process improvement and customer service excellence
• Ensure compliance with employment laws, HR policies, and affirmative action requirements
• Develop, implement, and administer credentialing documentation, identify issues, and follow up for resolution departmental policies and procedures
• Maintain integrity, accuracy, and completeness of credentialing databases

Manager, Client Privileged Access

Data Analyst

• Build, maintain, and govern payer and plan data across workflow and pricing systems.
• Configure and manage submission addresses and methods.
• Standardize payer and plan names, aliases, and identifiers.
• Analyze and resolve routing exceptions and data discrepancies.
• Audit payer master data to ensure accuracy, completeness, and integrity.

Data Analyst, Payer Intelligence

Content Writer

• 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.

Appeal Writer – Hospital Billing, Denials

Financial Planning and Analysis

• Serve as a financial business partner to key service line leaders providing continuous support related to forecasting, budget analysis, operational KPIs, and ROI on initiatives.
• Partner with rest of finance organization to drive reporting efficiencies and effectiveness.
• Ultimate goal is to streamline reporting to enable strategic insights that lead to business actions.
• Develop executive level presentation materials surrounding operations, revenue metrics, client analysis and associated financial impacts, as well as long-term strategic plans.
• Support financial modeling and ad hoc analysis requests to help drive business strategy and improve efficiency.

Financial Analyst

• Set-up and process new accounts daily.
• Effectively use company systems and technologies to successfully enter content information and verify information received.
• Effectively communicate with patients, attorneys, and insurance carriers.
• Establish and maintain a positive working relationship with internal and external partners.
• Display quality work, integrity, and ethical decision making during all work assignments.
• Display the ability to problem solve.
• Work in a team environment handling complex high-volume work.
• Adhere to high standards of accountability, confidentiality (HIPAA compliant), and professionalism while dealing with medical and financial information.