[Hiring] Denial Reimburse Specialist @Franciscan Alliance, Inc.

Role Description

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.

• 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 HIPAA 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

Requirements

• TRAVEL IS REQUIRED: Never or Rarely
• JOB RANGE: Denial Reimburse Specialist $23.43 - $30.46
• INCENTIVE: Not Applicable

Benefits

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.