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Manager Medicaid Claims Processing Jobs in Indiana

The position requires professionalism, tact, organization, and the ability to manage a high-volume ... Organize and prioritize a heavy workload to ensure compliance with stringent federal processing ...

... claims processing, payment posting, denial management, collections, and provider enrollment ... Perform follow-up activities with commercial insurance, Medicare, Medicaid, Managed Care ...

... benefits, manage correspondence, conduct investigations into lost or forged benefit warrants ... Complete daily summary of work activities according to types and numbers of claims processed and ...

The manager has indicated the position is a possible contract to hire opportunity. Candidates ... Review update all documentation related to claims processing and EDI transactions Identify ...

.Net Developer

Indianapolis, IN · On-site

$46 - $61/hr

... manager, software developers, business analysts, and functional team members on the project activities. Key Responsibilities * Review update all documentation related to claims processing and EDI ...

The CA takes the initial loss report from our client, sets expectations about the claims process ... Data Skills: Using a computer application to manage large amounts of information, including ...

Claims Specialist Int

Carmel, IN · Hybrid

$63K - $81K/yr

Analyze and interpret medical reports, follow-up with no-fault parties, and manage claims process to ensure efficient resolution * Interview, collect and document information from various people such ...

... benefits, manage correspondence, conduct investigations into lost or forged benefit warrants ... Complete daily summary of work activities according to types and numbers of claims processed and ...

In this role, you will be responsible for investigating, evaluating, and processing travel ... Strong organizational skills with the ability to manage multiple priorities in a fast-paced ...

Showing results 41-60

Manager Medicaid Claims Processing information

What is the difference between Manager Medicaid Claims Processing vs Claims Analyst?

AspectManager Medicaid Claims ProcessingClaims Analyst
CredentialsRelevant certifications (e.g., CPC, CPC-H), experience in Medicaid claimsSimilar certifications, often entry to mid-level experience
Work EnvironmentSupervisory role overseeing teams, administrative tasksData analysis, claims review, and processing
Employer & IndustryHealthcare providers, Medicaid agencies, insurance companiesHealthcare organizations, insurance companies, government agencies

The main difference is that the Manager Medicaid Claims Processing oversees teams and manages claims operations, while the Claims Analyst focuses on reviewing and processing claims. Both roles require similar certifications and work within healthcare and insurance environments, but the manager has additional responsibilities in supervision and strategy.

What are the most commonly searched types of Medicaid Claims Processing jobs in Indiana?

The most popular types of Medicaid Claims Processing jobs in Indiana are:

What are popular job titles related to Manager Medicaid Claims Processing jobs in Indiana?

For Manager Medicaid Claims Processing jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Manager Medicaid Claims Processing jobs in Indiana look for?

The top searched job categories for Manager Medicaid Claims Processing jobs in Indiana are:

What cities in Indiana are hiring for Manager Medicaid Claims Processing jobs?

Cities in Indiana with the most Manager Medicaid Claims Processing job openings:

IN-IDOH Senior EDI Developer

Techmorgonite Software Solutions LLC

Indianapolis, IN • On-site

Contractor

Re-posted 26 days ago


Job description

The IndianaDepartment of Health (IDOH) is 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 IDOH, 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 IDOH’s ACAPS system is rewritten in .Net

• Act as liaison between OTC team and the Children’s 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 project’s 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.

o Provide support to healthcare providers who interact with IDOH’s CSHCS system

o Assist in onboarding new providers

o Assist in onboarding new clearinghouses

• Ability to work independently with less guidance and work with ISDH externals partners as needed. 

 
  Required/Desired Skills   SkillRequired /DesiredAmountof ExperienceBachelor’s Degree in Computer Science or related fields with IT experienceRequired0 Database knowledgeRequired5YearsUnderstanding EDI file formats (835, 837, 210)Required5YearsKnowledge of HIPAA regulationsRequired0 Ability to solve complex troubleshooting issuesRequired0 Excellent verbal and written communication skillsRequired0 Health Industry experienceHighly desired0 Knowledge of IBM Websphere (WTX)Highly desired0 Database/SQL experienceHighly desired0