WHAT WE NEED
Persistent, organized financial support
WHO WE ARE LOOKING FOR
Some people love getting to the bottom of things – reviewing medical claims, resolving accounts, digging through the details to identify discrepancies and needs. Yes, we’re talking about people who love claims. And it takes a love of getting into the details to do this job well.
Do you have top notch customer service and data entry skills? Are you good at following through on inquiries? Are you accurate and organized? We’d love to talk to you about working here.
WHAT YOU WILL DO
Process managed care medical claims according to established policies, plan specifications and performance requirements.
Analyze claims to determine whether they should be approved or denied payment.
Review and address provider inquiries regarding claim adjudication.
Provide customer service for plan enrollees, employers and providers by answering questions related to claim status, benefits, payment and appeals.
Develop and perform quality assurance activities related to claims processing.
WHAT IT TAKES TO SUCCEED
Prior managed care medical claims experience.
Customer service skills necessary to deal effectively and courteously with all levels of management, employees, and external contacts.
Experience and knowledge of ICD10 and CPT coding.
TRAVEL IS REQUIRED:
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.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
Skills Required
- Prior managed care medical claims experience
- Customer service skills to communicate effectively and courteously with management, employees, enrollees, employers, providers, and external contacts
- Experience and knowledge of ICD-10 and CPT coding
Franciscan Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Franciscan Health and has not been reviewed or approved by Franciscan Health.
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Healthcare Strength — Benefits include medical, dental, and vision with broad network options, plus added savings when using system hospitals, labs, imaging, pharmacies, and physicians. Feedback suggests health coverage is solid, though not best-in-class.
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Retirement Support — An employer-funded retirement contribution is available alongside 403(b) and 457(b) options with defined eligibility and vesting. Feedback suggests this structure supports long-term savings across many roles.
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Leave & Time Off Breadth — PTO accrues with service and certain provider roles cite robust allotted time off and CME. Feedback suggests the presence of EAP and additional programs adds breadth to time-away support.
Franciscan Health Insights
What We Do
The Franciscan Alliance healthcare ministry began in Lafayette, Ind., in 1875. Today, Franciscan Alliance is one of the largest Catholic health care systems in the Midwest with 12 hospital campuses in Indiana and Illinois, approximately 20,000 employees and a number of nationally recognized Centers of Health Care Excellence. Hospitals include: Franciscan Health Crown Point, Franciscan Health Michigan City, Franciscan Health Crawfordsville, Franciscan Health Lafayette East, Franciscan Health Indianapolis, Franciscan Health Carmel, Franciscan Health Rensselaer, Franciscan Health Mooresville, Franciscan Health Hammond, Franciscan Health Dyer, Franciscan Health Munster and Franciscan Beacon Hospital in Indiana; and Franciscan Health Olympia Fields in Illinois. For more information, visit FranciscanHealth.org. With more than 850 primary and specialty care providers at over 260 locations in Indiana and Illinois, Franciscan Physician Network is one of the largest and most respected multi-specialty physician networks in the Midwest providing convenient, comprehensive care
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