Clinical Denials Assistant

At Franciscan, our Clinical Denials Assistant is an important when working with the Authorization Denials Team by reviewing cardiac testing denials, filing appeals, scheduling Peer to Peers, keeping patient informed of process, and following up with insurance companies. In this role you will also serve as a liaison to the cardiac providers by providing direct coordination with insurance providers for appeals and providing education and updates on insurance changes to reduce denials.

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.

Indiana Heart Physicians (IHP) has been delivering leading cardiovascular care since 1978, offering comprehensive services through board‑certified cardiologists across multidisciplinary clinics, including cardio‑oncology, heart failure, A‑Fib, cardio‑genetics, and structural heart. IHP provides advanced cardiac imaging and participates in research and clinical trials to bring patients the latest innovations in heart care. As part of the Franciscan Health Heart Center—ranked by HealthGrades as #1 in Indiana for cardiology (2024–2026), named one of HealthGrades’ America’s 100 Best for Cardiac Care (2026), and recognized by CareChex as #1 in the market for cardiac care (2026)—IHP delivers nationally recognized, patient‑centered cardiovascular excellence.

WHAT YOU CAN EXPECT

• Shift hours 8am to 5pm Monday to Friday

• Looking for an organized candidate with insurance experience, denial process knowledge, and a strong willingness to learn

• Collaborate with Authorization Denials Team reviewing cardiac testing denials, filing appeals, scheduling Peer to Peers, keeping patient informed of process, and following up with insurance companies

• Initiate education to providers of insurance changes and unique coding needs to reduce denials

• Facilitate direct connection for peer-to-peer insurance provider to on-site provider, reducing lag time for providers

• Initiate pulling updated compliance with insurances on a regular basis ensuring the most recent requirements for testing are secured. Provide updates to leaders and physicians

• Inform patients of insurance denials and next steps, and liaison between satellite locations and authorization team for processes and updates

• Conduct RVU audits and tracks claim denials. Review volume and denial reasonings with leadership, making recommendations based on patterns

QUALIFICATIONS

• Preferred Associate's Degree

• Required High School Diploma/GED

• Preferred 1 year Computer Experience

• Preferred 1 year Medical Terminology

• Preferred 1 year Insurance Claim Knowledge

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.