Denial Reimbursement Specialist

Work From Home

Work From Home Work From Home, Indiana 46544

WHO WE ARE

W ith 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 EXPECT

Conduct inquiries via phone, mail, fax, or electronically to conduct follow-up on the accounts that have not 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 in order to properly review, dispute or appeal denial until a determination is made to conclude the appeal.

Resubmit overturned denials as warranted and monitor denial resubmissions for payment; resubmit claims using the denial program re-bill requests feature, ensuring all modifications to the account are reflected on the claim form.

Ensure information sent to insurance carriers have 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.

QUALIFICATIONS

2 years of Revenue Cycle

High School Diploma required

TRAVEL IS REQUIRED : Never or Rarely

Never or Rarely

EQUAL OPPORTUNITY EMPLOYER

It 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.