Lead Denial Reimbursement Specialist

Franciscan Alliance Inc

South Bend, Indiana, United States
Base: $24.83 – $32.28; bonus/equity: not applicabl...
Fully remote
Full understanding of denial appeal process
Work assigned work queues and ad hoc
Investigate claim and payment history
Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care through innovation, compassion, and excellence

Job Summary

  • Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care through innovation, compassion, and excellence.
  • The Lead Denial Reimbursement Specialist acts as a liaison between the Denial Management Team and other revenue cycle departments to resolve complex claims.
  • This role includes responsibilities for training new hires, retraining existing staff, and overseeing structured workflows to ensure accurate departmental actions.

Matching Summary

Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care through innovation, compassion, and excellence.

Salary

Base: $24.83 – $32.28; Bonus/Equity: Not Applicable; Benefits: Comprehensive benefit offerings available

Skills & Requirements

Must-have

  • full understanding of denial appeal process
  • work assigned work queues and ad hoc
  • investigate claim and payment history
  • review denials and payment discrepancies
  • collect documentation and write-offs

Nice-to-have

  • opportunity for training new hires
  • assist team members with difficult denials
  • participate in RAC audits review
  • collaborate across revenue cycle departments

Key Requirements

  • High School Diploma or GED required
  • 2 years experience in patient accounting
  • 1 year Microsoft Office experience
  • Knowledge of managed care contract terminology preferred
  • Associate's Degree preferred

Work Rights

Not specified

Tailored Resume

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