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

• Assists billing in tracking non-paid claims, including researching information and documentation for insurance-related billing problems.

• Assists patients, families, physicians and other referral sources via telephone with clinical issues, problems, and questions

• Communicates with all referral sources to gain the necessary information to facilitate continuity of care and appropriate care of patients and clients including demographics, diagnoses, surgeries, hospital/ECF dates, physician's orders, and reimbursement or insurance information.

• Completes appropriate referral forms and enters information into the computer.

• Identifies and implements clinical review systems for all pay sources to include admissions, continued stay, and concurrent and retrospective reviews.

• Documents interventions taken and orders received in EMR as indicated.

• Investigates and determines initial patient benefits coverage for requested programs and services. This includes Medicare, Medicaid, private insurance, grants, special contracts, charity, and fee structures.

• Obtains managed care and insurance authorizations to determine the applicable coordination of benefits.

• Schedules visits with field staff to assure that the frequency of visits are compliant with the plan of care.

QUALIFICATIONS

• High School Diploma/GED - Required

• 2 Years Home Healthcare Experience- Preferred

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.