Clinical Denials Assistant

Indiana Heart Physicians Building

5330 E Stop 11 Rd Indianapolis, Indiana 46237

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.

 
WHO WE ARE
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.
 
WHAT YOU CAN EXPECT

• Monday to Friday 8am to 5pm schedule working in a busy Cardiology practice

• In person position

• Looking for an organized candidate with insurance experience, denial process knowledge, and a strong willingness to learn

• Enjoy work life balance with consistent day shift schedule and observed holidays off work

• 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

QUALIFICATIONS

• Preferred Associate's Degree

• Required High School Diploma/GED

• Preferred 1 year Computer Experience

• Preferred 1 year Medical Terminology

• Preferred 1 year Insurance Claim Knowledge

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.

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.