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Franciscan Health
Hammond, IN | Full Time
$42k-52k (estimate)
1 Week Ago
Franciscan Health
Hammond, IN | Full Time
$43k-53k (estimate)
1 Week Ago
Franciscan Health
Hammond, IN | Full Time
$43k-53k (estimate)
1 Week Ago
Franciscan Health
Hammond, IN | Full Time
$43k-53k (estimate)
1 Week Ago
Reimbursement specialist
$42k-52k (estimate)
Full Time | Hospital 1 Week Ago
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Franciscan Health is Hiring a Reimbursement specialist Near Hammond, IN

Coordinated Business Office (CBO)

2434 Interstate Plaza Dr Hammond, Indiana 46324

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

Conduct inquiries via phone, mail, fax, or electronically to conduct follow-up on the accounts that have not 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 in order to properly review, dispute or appeal denial until a determination is made to conclude the appeal.

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 information sent to insurance carriers have all release of information necessary and is HIPPA 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.

Flexible Schedule (7-5pm) 8 hour shift

Hybrid role - Must be able to work on site and remote.

QUALIFICATIONS

High School diploma required

2 years of Revenue cycle required

TRAVEL IS REQUIRED : Never or Rarely

Never or Rarely

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.

Last updated : 2024-09-06

Job Summary

JOB TYPE

Full Time

INDUSTRY

Hospital

SALARY

$42k-52k (estimate)

POST DATE

09/07/2024

EXPIRATION DATE

09/12/2024

WEBSITE

franciscanhealth.org

HEADQUARTERS

INDIANAPOLIS, IN

SIZE

15,000 - 50,000

FOUNDED

1875

CEO

CATHY DECKER

REVENUE

$3B - $5B

INDUSTRY

Hospital

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About Franciscan Health

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. More
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The following is the career advancement route for Reimbursement specialist positions, which can be used as a reference in future career path planning. As a Reimbursement specialist, it can be promoted into senior positions as a Staff Nurse - RN, Sr. - Medical Management that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Reimbursement specialist. You can explore the career advancement for a Reimbursement specialist below and select your interested title to get hiring information.

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If you are interested in becoming a Reimbursement Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Reimbursement Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Reimbursement Specialist job description and responsibilities

Reimbursement specialists utilize reference materials and medical coding knowledge to address claims.

04/22/2022: Frankfort, KY

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Reimbursement Specialist jobs

The career path for a reimbursement specialist starts by first obtaining a high school diploma or GED.

05/26/2022: Boca Raton, FL

Educational prerequisites for reimbursement specialists vary, from a minimum of a high school diploma to a bachelor’s degree.

04/27/2022: New York, NY

Step 3: View the best colleges and universities for Reimbursement Specialist.

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