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Work From Home
Work From Home Work From Home, Indiana 46544
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest.
Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
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.
Collaborate with other departments to align interdepartmental functioning, goals, and expectations.
Ensure all clinical denials assigned to Clinicians, Patient Access and / or HIM denial staff are acknowledged in a timely manner and appropriate follow-up action is taken as defined by the respective policy.
Conduct follow-up with insurance carriers, physicians, and other stakeholders that can validate and assist with actions and information needed in order to properly review, dispute or appeal denial until a determination is made to conclude the appeal.
Ensure that follow-up responses on denied claims occur on a timely basis and adhere to contractually binding conditions.
Resubmit overturned denials as warranted and monitor denial resubmissions for payment; resubmit claims using the denial program re-bill requests feature, ensuring all modifications to the account are reflected on the claim form.
Ensure compliance with all state and federal billing regulations.
Perform recoupments to include investigating claim and payment history to see if the appeal is warranted.
Review rejected claims based on NPI denials.
QUALIFICATIONS
1-year Prior Patient Accounting experience required.
TRAVEL IS REQUIRED : Never or Rarely
Never or Rarely
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.
Full Time
Hospital
$37k-47k (estimate)
05/11/2024
06/21/2024
franciscanhealth.org
INDIANAPOLIS, IN
15,000 - 50,000
1875
CATHY DECKER
$3B - $5B
Hospital
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; Fra...nciscan Health-Olympia Fields, Ill.; Franciscan Health Hammond; Franciscan Health Dyer; and Franciscan Health Munster. 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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