Denial Collections Specialist

Job description

Work From Home Work From Home Work From Home, Indiana 46544 The Denial Collections Specialist is responsible for the immediate review of all denied medical insurance claims, identification of the basis for filing an appeal, and/or resubmission of claims. This position ensures that resubmitted claims are accurate, compliant and timely, resulting in reconsideration by third-party payers. 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: - Reports and uses software to track, trend and identify root causes of denials; offers suggestions for process improvement to resolve denial issues, supported by documentation and data. - Collaborates with other departments to align interdepartmental functioning, goals, and expectations. - Ensures 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 re...