Clinical Denials Assistant
Franciscan Alliance•Indianapolis, IN
•Onsite
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.
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
- Review and manage cardiac testing denials, including submitting appeals, coordinating peer-to-peer reviews, and partnering with insurance companies to support timely authorization decisions
- Serve as a liaison between patients, providers, insurance carriers, and authorization teams, ensuring clear communication and timely updates throughout the denial and appeal process
- Monitor insurance requirements and coverage changes, providing education and guidance to providers to help reduce denials and support compliance
- Coordinate peer-to-peer discussions and facilitate direct communication between insurance representatives and providers to streamline approvals and minimize delays
- Track and analyze denial trends, conduct audits, and provide recommendations to leadership and providers to improve authorization outcomes and reduce future denials
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
