Denial Reimburse Specialist

Posted An Hour Ago
Be an Early Applicant
Hiring Remotely in Home, Klouékanmè, Kouffo, BEN
Remote
23-30 Hourly
Junior
Healthtech
The Role
Work denied claims from home by researching and resolving payment denials. Follow up with insurers, physicians, and stakeholders to appeal denials, ensure HIPAA-compliant information release, analyze denial trends using tracking software, prepare patient record requests, and recommend process improvements to reduce future denials.
Summary Generated by Built In

Work From Home

Work From Home Work From Home, Indiana 46544

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

Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.

WHAT YOU CAN EXPECT

  • Work hours 7am to 3:30pm

  • Training hours: 8am to 4:30pm, 6-8 weeks.

  • Conduct 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.

QUALIFICATIONS

  • Required High School Diploma/GED

  • 2 years Revenue Cycle with strong AR account follow-up, appeals, billing and/or coding knowledge OR Insurance Verification/Patient Accounting Required

TRAVEL IS REQUIRED:

Never or RarelyJOB RANGE:Denial Reimburse Specialist $23.43 - $30.46INCENTIVE:Not Applicable

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

  • High School Diploma or GED
  • 2 years revenue cycle experience with AR account follow-up, appeals, billing and/or coding knowledge OR insurance verification/patient accounting experience
  • Ability to conduct follow-up via phone, mail, fax, and electronic communication
  • Knowledge of appeals, dispute workflows and preparing/submitting patient record requests
  • Ensure releases of information and handling of records are HIPAA compliant
  • Ability to analyze reports and use software to track and trend denials

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.

  • 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.
  • 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.
  • 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

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The Company
HQ: Mishawaka, IN
4,462 Employees
Year Founded: 1875

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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