Clinical Denials Assistant
About The Position
At Franciscan, our Clinical Denials Assistant is an important when working with the Authorization Denials Team by reviewing cardiac testing denials, filing appeals, scheduling Peer to Peers, keeping patient informed of process, and following up with insurance companies. In this role you will also serve as a liaison to the cardiac providers by providing direct coordination with insurance providers for appeals and providing education and updates on insurance changes to reduce denials. Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. Indiana Heart Physicians (IHP) has been delivering leading cardiovascular care since 1978, offering comprehensive services through board‑certified cardiologists across multidisciplinary clinics, including cardio‑oncology, heart failure, A‑Fib, cardio‑genetics, and structural heart. IHP provides advanced cardiac imaging and participates in research and clinical trials to bring patients the latest innovations in heart care. As part of the Franciscan Health Heart Center—ranked by HealthGrades as #1 in Indiana for cardiology (2024–2026), named one of HealthGrades’ America’s 100 Best for Cardiac Care (2026), and recognized by CareChex as #1 in the market for cardiac care (2026)—IHP delivers nationally recognized, patient‑centered cardiovascular excellence.
Requirements
- High School Diploma/GED
- 1 year Computer Experience
- 1 year Medical Terminology
- 1 year Insurance Claim Knowledge
Nice To Haves
- Associate's Degree
Responsibilities
- Reviewing cardiac testing denials
- Filing appeals
- Scheduling Peer to Peers
- Keeping patient informed of process
- Following up with insurance companies
- Serve as a liaison to the cardiac providers by providing direct coordination with insurance providers for appeals
- Providing education and updates on insurance changes to reduce denials
- Initiate education to providers of insurance changes and unique coding needs to reduce denials
- Facilitate direct connection for peer-to-peer insurance provider to on-site provider, reducing lag time for providers
- Initiate pulling updated compliance with insurances on a regular basis ensuring the most recent requirements for testing are secured
- Provide updates to leaders and physicians
- Inform patients of insurance denials and next steps
- Liaison between satellite locations and authorization team for processes and updates
- Conduct RVU audits and tracks claim denials
- Review volume and denial reasonings with leadership, making recommendations based on patterns
Benefits
- Comprehensive benefit offerings
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
