[Close] 

Clinical Denials Clerk

Clinical Denials
Franciscan Alliance


‚€‹‚€‹24 Joliet Street¬ 
Dyer, IN 46311

¬ 


Days;¬ Full-Time


40¬ Hrs/Wk


View Map
Directions




WHAT WE NEED


Super-organized denials support



WHO WE ARE LOOKING FOR


Every office has one: the person who keeps things running smoothly. The go-to person when you need supplies ordered, mail reviewed, or questions answered. The person who can maintain a pleasant phone conversation while sorting the mail. We honestly don't know how an office runs without one.


¬ 


Are you dependable? Do you enjoy making sure things are done the right way? Are you good at juggling different tasks with a smile? Keep reading, we've got a spot for you.



WHAT YOU WILL DO



  • Review document imaging queues daily and takes necessary action as deemed appropriate as defined in the policy.

  • Review incoming mail daily and takes necessary action as deemed appropriate as defined in the policy.

  • Retrieve hardcopy files for billing/collection team members daily.

  • Prepare all outgoing mail from respective team members.

  • Perform duties as defined by the Government/Non-Government Billing and Collections Teams.

  • Maintain office supplies and replenishes levels as needed.¬  Place orders for the staff for special requests while monitoring budget expenses.¬ ¬ 

  • Insure Patient information is accurate and complete.

  • Conduct inquiries via phone, mail, fax, or walk-in to obtain information that will assist or result in payment on account balances.¬ 

  • Utilize supplies and resources of the organization in a cost-effective manner.

  • Document repetitive issues for corrective action.

  • Maintain follow-up procedures and working relationships with area responsible for the information, including; Medical Records Department, Patient Access, and/or physicians.

  • Document activity in an accurate and timely manner on the patient's account.

  • Ensure compliance with all state and federal billing regulations and reports any suspected compliance issues to your respective Manager/Supervisor and Education/QA Manager.

  • Works with supervision, management and the patient accounting staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department.



WHAT IT TAKES TO SUCCEED



  • Knowledge of third party payers, insuring a clear understanding of information required facilitating the collection of insurance payments.

  • Knowledge of Microsoft Office Applications, Medical and Managed Care Contract terminology.

  • Demonstrated knowledge of Revenue Cycle procedures.

  • Complete tasks and assignments in a timely manner. Utilizes time in a constructive manner. Able to act independently when necessary.

  • Establish and maintain proficient level of system knowledge.

  • Maintain proficiency and level of knowledge with all systems required for task completion.

  • Strong communication skills, both verbal and written.



WHAT WE'RE LOOKING FOR


High School Diploma/ GED Required


1-3 Years Experience


License(s):


Certification(s):


Travel:¬ Never or Rarely


¬ 


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.




Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.