Denial Reimburse Specialist

Work From HomeWork From Home Work From Home, Indiana 46544Some people love getting to the bottom of things -- chasing down denied claims, resolving accounts, digging through the details to identify discrepancies and needs. Yes, we’re talking about people who love collections. And it takes a love of getting into the details to do this job well. WHO WE AREWith 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECTConduct inquiries via phone, mail, fax, or electronically to conduct follow-up on the accounts that have been denied and resubmitted for payment.Conduct follow-up with insurance carriers, physicians, and other stakeholders that can validate and assist with actions and information needed to properly review, dispute or appeal denial until a determination is made to conclude the appeal.Ensure information sent to insurance carriers has all release of information necessary and is HIPPA compliant.Analyze reports and use software to track, trend and identify root causes of denials; offer suggestions for process improvement to resolve denial issues, supported by documentation and data.Review denials and payment discrepancies identified through the denial system, which are directly related to the verification, authorization and registration process.Prepare and submit patient record requests from care delivery sites and provide correspondence to patient on requested information.QUALIFICATIONSPreferred Associate's DegreeRequired High School Diploma/GED2 years Revenue Cycle with strong AR account follow-up, appeals, billing and/or coding knowledge OR Insurance Verification/Patient Accounting RequiredTRAVEL IS REQUIRED:Never or RarelyJOB RANGE:Denial Reimburse Specialist $23.43 - $30.46INCENTIVE:Not ApplicableEQUAL OPPORTUNITY EMPLOYERIt is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.Franciscan Alliance is committed to equal employment opportunity.Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

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