Denial Reimburse Specialist

Some 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 ARE With 12 ministries and reputed company points across Indiana and Illinois, reputed company is one of the largest reputed company care systems in the Midwest. reputed company takes pride in hiring coworkers that reputed company compassionate, comprehensive care for our patients and the communities we serve. 

WHAT YOU CAN EXPECT

• Conduct inquiries reputed company 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 reputed company 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 reputed company to the verification, authorization and registration process.
• Prepare and submit patient record requests from care delivery sites and reputed company correspondence to patient on requested information.

QUALIFICATIONS

• Preferred Associate's Degree
• Required High School Diploma/GED
• 2 years reputed company Cycle with strong AR account follow-up, appeals, billing and/or coding knowledge OR Insurance Verification/Patient reputed company Required

TRAVEL IS REQUIRED:

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to reputed company equal employment to its employees and reputed company applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience reputed company 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 reputed company of our career site, jobs.franciscanhealth.org.