The Supervisor of Denial Management oversees the daily operations of a team responsible for medical claim denial follow-up and underpayments, and all support activities associated with managing claim denials. This position assists management in maintaining the denial management system, workflows and analysis reporting including the collection and interpretation of patterns to quantify denial causes and their financial impact. Responsible to identify trends to reduce future revenue loss. The Supervisor of Denial Management collaborates with other system departments to apprise them of trends and process improvement opportunities, with a focus on preventing future claim denials.
WHO WE ARE
Franciscan Health is a non-profit health care ministry with primary and specialty care physician groups located throughout Indiana. Franciscan is known for our mission of caring. Our values of Respect for Life; Fidelity to Our Mission; Compassionate Concern; Joyful Service; and Christian Stewardship extend to our employees and patients. With 11 hospital ministries, Franciscan Health is one of the largest Catholic health care organizations in the Midwest. Franciscan Health includes over 1,000 employed physicians and advanced practice providers. Franciscan providers enjoy a team approach to care. Of our 260+ locations, many are nationally recognized Centers of Health Care Excellence.
WHAT YOU CAN EXPECT
Supervise the work of others and manage the performance of individuals through feedback and recommendations.
Implement process innovations and works closely with Insurance Payers, Revenue Cycle leadership and Department Managers in revenue-producing departments to reduce denials and to improve upon the Revenue Cycle KPIs.
Participate in people management activities for direct team members such as conducting performance evaluations, disciplinary actions, and interviews.
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.
Coordinate department efforts with other departments to align interdepartmental functioning, strategic goals, and expectations.
Develop and monitor a structured, organized workflow to ensure actions carried out consistently and accurately.
Act as the first point of escalation within the team by acting as a coach and mentor.
Prepare operational progress or status reports on a regular basis.
Independently develop effective relationships with patients, hospital departments, and other external parties.
Coordinate meetings and in-service training with Payor representatives and vendors.
Develop reports, policies, procedures and training materials for employee training and business improvements.
Ensure compliance with state and federal billing regulations.
Review the final documentation for write-offs and adds avoidable write off language.
QUALIFICATIONS
Required High School Diploma/GED
5 years Patient accounting and Denial Management Required
2 years Supervisory or leadership experience Preferred
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
- High school diploma or GED
- Five years of patient accounting and denial management experience
- Two years of supervisory or leadership experience
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
