... insurance claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at , are loaded into our database, are ...
Quick apply
... insurance claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at , are loaded into our database, are ...
Quick apply
... insurance claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at , are loaded into our database, are ...
Schererville, IN · Hybrid
$54K - $57K/yr
... the claims process from start to finish. You'll have the support of a collaborative team and ... at home or in the office, for a period of 12 months. After that period, the days you'll be expected ...
Schererville, IN · Hybrid
$54K - $57K/yr
... the claims process from start to finish. You'll have the support of a collaborative team and ... at home or in the office, for a period of 12 months. After that period, the days you'll be expected ...
Carmel, IN · Hybrid
CTP, Claims Examiner At WorldTrips, a proud member of the Tokio Marine HCC group of companies, we ... In this role, you will be responsible for investigating, evaluating, and processing travel ...
Carmel, IN · Hybrid
CTP, Claims Examiner At WorldTrips, a proud member of the Tokio Marine HCC group of companies, we ... In this role, you will be responsible for investigating, evaluating, and processing travel ...
Indianapolis, IN · On-site +1
$21.63 - $36.06/hr
Reviewing and processing Individual Life Death Claims * Clearing outstanding accounting * Clearing ... We offer a comprehensive total rewards package designed to support you both at work and at home.
Indianapolis, IN · On-site +1
$21.63 - $36.06/hr
Reviewing and processing Individual Life Death Claims * Clearing outstanding accounting * Clearing ... We offer a comprehensive total rewards package designed to support you both at work and at home.
Indianapolis, IN · On-site +1
$21.63 - $36.06/hr
Reviewing and processing Individual Life Death Claims * Clearing outstanding accounting * Clearing ... We offer a comprehensive total rewards package designed to support you both at work and at home.
Quick apply
Indianapolis, IN · On-site +1
$21.63 - $36.06/hr
Reviewing and processing Individual Life Death Claims * Clearing outstanding accounting * Clearing ... We offer a comprehensive total rewards package designed to support you both at work and at home.
Indianapolis, IN · On-site
$21.63 - $36.06/hr
Reviewing and processing Individual Life Death Claims * Clearing outstanding accounting * Clearing ... We offer a comprehensive total rewards package designed to support you both at work and at home.
Indianapolis, IN · On-site
$21.63 - $36.06/hr
Reviewing and processing Individual Life Death Claims * Clearing outstanding accounting * Clearing ... We offer a comprehensive total rewards package designed to support you both at work and at home.
Indianapolis, IN · On-site
... claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated ...
Quick apply
Indianapolis, IN · On-site
... claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated ...
Westfield, IN · On-site
$20 - $24.50/hr
Come join our amazing team and work remote from home! The Default Claims Quality Assurance ("QA") ... Document Mortgage platform with appropriate process tracking * Escalate trends or issues identified ...
Westfield, IN · On-site
$20 - $24.50/hr
Come join our amazing team and work remote from home! The Default Claims Quality Assurance ("QA") ... Document Mortgage platform with appropriate process tracking * Escalate trends or issues identified ...
Westfield, IN · Remote
$20 - $24.50/hr
Come join our amazing team and work remote from home! The Default Claims Quality Assurance ("QA") ... Document Mortgage platform with appropriate process tracking * Escalate trends or issues identified ...
Westfield, IN · Remote
$20 - $24.50/hr
Come join our amazing team and work remote from home! The Default Claims Quality Assurance ("QA") ... Document Mortgage platform with appropriate process tracking * Escalate trends or issues identified ...
... that our claims processes are highly accurate, timely and customer oriented. Duties ... at providing successful problem resolution and de-escalation with dealer partners and other ...
Quick apply
... that our claims processes are highly accurate, timely and customer oriented. Duties ... at providing successful problem resolution and de-escalation with dealer partners and other ...
... that our claims processes are highly accurate, timely and customer oriented. Duties ... Ability to sit at a desk and work on a computer for prolonged periods of time Must be able to ...
... that our claims processes are highly accurate, timely and customer oriented. Duties ... Ability to sit at a desk and work on a computer for prolonged periods of time Must be able to ...
... that our claims processes are highly accurate, timely and customer oriented. Duties ... at providing successful problem resolution and de-escalation with dealer partners and other ...
... that our claims processes are highly accurate, timely and customer oriented. Duties ... at providing successful problem resolution and de-escalation with dealer partners and other ...
Kokomo, IN · On-site
$16.35/hr
Data Security and Privacy Statement At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including ...
Kokomo, IN · On-site
$16.35/hr
Data Security and Privacy Statement At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including ...
$16.35/hr
Data Security and Privacy Statement At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including ...
Quick apply
$16.35/hr
Data Security and Privacy Statement At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including ...
Fort Wayne, IN · On-site
$16.35/hr
Data Security and Privacy Statement At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including ...
Fort Wayne, IN · On-site
$16.35/hr
Data Security and Privacy Statement At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including ...
$16.35/hr
Data Security and Privacy Statement At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including ...
Quick apply
$16.35/hr
Data Security and Privacy Statement At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including ...
... claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated ...
... claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated ...
Jasper, IN · On-site
$16.35/hr
... At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your ...
Jasper, IN · On-site
$16.35/hr
... At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your ...
Columbus, IN · On-site
$16.35/hr
... At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your ...
Columbus, IN · On-site
$16.35/hr
... At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your ...
North Vernon, IN · On-site
$16.35/hr
Data Security and Privacy Statement At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including ...
North Vernon, IN · On-site
$16.35/hr
Data Security and Privacy Statement At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including ...
| Aspect | At Home Claims Processing | Customer Service Representative |
|---|---|---|
| Credentials | Insurance knowledge, claims processing certifications | Communication skills, customer service training |
| Work Environment | Remote, home-based | Remote or in-office, customer-facing |
| Industry Usage | Insurance companies, claims departments | Various industries including retail, telecom |
| Job Focus | Reviewing and processing insurance claims | Assisting customers, resolving inquiries |
At Home Claims Processing involves handling insurance claims remotely, requiring specific industry knowledge and certifications. Customer Service Representatives focus on assisting customers across various sectors, often with a broader skill set. While both roles can be remote, their core responsibilities and credentials differ significantly.

Seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS.
The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at , are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.
Essential Duties / Responsibilities:
Review update all documentation related to claims processing and EDI transactions
Identify incompletely documented claims processing and EDI processes, and document them
Work with development team as a SME as s ACAPS system is rewritten in .Net
Act as liaison between OTC team and the Childrens program area on claims processing issues
Working with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with projects goals.
Write technical specifications based on conceptual design and stated business requirements.
Test new and existing systems
Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.
Provide helpdesk level support for EDI claim transactions.
Provide support to healthcare providers who interact with s CSHCS system
Assist in onboarding new providers
Assist in onboarding new clearinghouses
Ability to work independently with less guidance and work with ISDH externals partners as needed.
Sourced by ZipRecruiter
We understand that attracting, qualifying, placing, and retaining the best candidates for our clients requires exceptional talent. That’s why our highly skilled and dedicated recruitment team works tirelessly to develop lifelong associations with all candidates and clients. We prioritize helping our employees achieve their career goals while providing effective staffing solutions to our clients and candidates. At Apidel, we believe in simple yet established core values that are ingrained within each member of our team. These values are time and again illustrated in our approach to employees, candidates, and clients. Our unwavering belief that our core values of integrity, client satisfaction, innovation, and intellect distinguish us from our competitors is what drives us forward. We remain focused on improving and sustaining a measurable client satisfaction program that has created an organizational culture where our associates provide world-class service every day.
Recruiting and staffing services
501 - 1,000 Employees
Plainfield, IL, US
2012