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Denials Reimbursement Specialist

2 months ago

Hammond, Indiana, United States Franciscan Health Full time

About Franciscan Health

Franciscan Health is a leading healthcare provider in the Midwest, serving patients across Indiana and Illinois through its 12 ministries and access points.

Job Summary

We are seeking a highly skilled Denials Reimbursement Specialist to join our team. As a key member of our Revenue Cycle team, you will be responsible for coordinating the resolution of denied claims and ensuring timely payment for our patients.

Key Responsibilities

  • Conduct thorough investigations into denied claims, identifying root causes and developing strategies for resolution.
  • Collaborate with insurance carriers, physicians, and other stakeholders to gather necessary information and resolve disputes.
  • Resubmit claims as necessary, ensuring all modifications are accurately reflected on the claim form.
  • Analyze reports and use software to track and trend denial patterns, identifying areas for process improvement.
  • Review denials and payment discrepancies related to verification, authorization, and registration processes.
  • Prepare and submit patient record requests and provide correspondence to patients as needed.

Requirements

  • High School diploma required.
  • 2 years of experience in Revenue Cycle required.

Work Environment

This is a hybrid role, requiring both on-site and remote work. A flexible schedule with 8-hour shifts is available.

Equal Opportunity Employer

Franciscan Health is an equal opportunity employer, committed to providing a diverse and inclusive work environment.