This position will work with the project manager, software developers, business analysts, and ... Review update all documentation related to claims processing and EDI transactions * Identify ...
Quick apply
This position will work with the project manager, software developers, business analysts, and ... Review update all documentation related to claims processing and EDI transactions * Identify ...
Quick apply
This position will work with the project manager, software developers, business analysts, and ... Review update all documentation related to claims processing and EDI transactions * Identify ...
... processes. They communicate policy changes, escalate issues to leadership, and help ensure proper ... The role coordinates with operations, utilization management, and claims to prevent unnecessary ...
... processes. They communicate policy changes, escalate issues to leadership, and help ensure proper ... The role coordinates with operations, utilization management, and claims to prevent unnecessary ...
Indianapolis, IN · On-site
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 ...
Indianapolis, IN · On-site
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 ...
Gary, IN · On-site
... claims processing, payment posting, denial management, collections, and provider enrollment ... Perform follow-up activities with commercial insurance, Medicare, Medicaid, Managed Care ...
Gary, IN · On-site
... claims processing, payment posting, denial management, collections, and provider enrollment ... Perform follow-up activities with commercial insurance, Medicare, Medicaid, Managed Care ...
Indianapolis, IN · On-site
$60 - $80/hr
... the project manager, software developers, business analysts, and functional team members on the project activities. * Review, update all documentation related to claims processing and EDI ...
New
Indianapolis, IN · On-site
$60 - $80/hr
... the project manager, software developers, business analysts, and functional team members on the project activities. * Review, update all documentation related to claims processing and EDI ...
New
Hammond, IN · On-site
$13.50/hr
Assisting the DME Manager with specialized DME and/or Building amp; Grounds projects and/or tasks ... Minimum of one (1) year experience in processing Medicare/Medicaid claims. * Exceptional, positive ...
Hammond, IN · On-site
$13.50/hr
Assisting the DME Manager with specialized DME and/or Building amp; Grounds projects and/or tasks ... Minimum of one (1) year experience in processing Medicare/Medicaid claims. * Exceptional, positive ...
... manager. Candidate must be local to Indianapolis. Contract Role The Client is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS. The EDI ...
... manager. Candidate must be local to Indianapolis. Contract Role The Client is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS. The EDI ...
Indianapolis, IN · On-site
$20/hr
... 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 ...
Indianapolis, IN · On-site
$20/hr
... 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 ...
Marion, IN · On-site
At Insurance Management Group, we're driven by the opportunity we have every day to positively ... process, from first notice of loss through resolution. In this role, you'll provide clear ...
Marion, IN · On-site
At Insurance Management Group, we're driven by the opportunity we have every day to positively ... process, from first notice of loss through resolution. In this role, you'll provide clear ...
Marion, IN · On-site
At Insurance Management Group, we're driven by the opportunity we have every day to positively ... process, from first notice of loss through resolution. In this role, you'll provide clear ...
Marion, IN · On-site
At Insurance Management Group, we're driven by the opportunity we have every day to positively ... process, from first notice of loss through resolution. In this role, you'll provide clear ...
Indianapolis, IN · On-site
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 ...
Indianapolis, IN · On-site
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 ...
Evansville, IN · On-site
$60 - $72/hr
Knowledge of healthcare billing, Medicaid Waiver billing, insurance claims processing, and revenue cycle management. * Strong analytical, organizational, and problem-solving skills. * Ability to ...
New
Evansville, IN · On-site
$60 - $72/hr
Knowledge of healthcare billing, Medicaid Waiver billing, insurance claims processing, and revenue cycle management. * Strong analytical, organizational, and problem-solving skills. * Ability to ...
New
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 ...
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 ...
Indianapolis, IN · Hybrid
$17 - $23/hr
... claims management system and ensuring all documentation is complete and up to date. * Coordinate external vendors by engaging appraisers, attorneys, and contractors, to support the claims process.
Indianapolis, IN · Hybrid
$17 - $23/hr
... claims management system and ensuring all documentation is complete and up to date. * Coordinate external vendors by engaging appraisers, attorneys, and contractors, to support the claims process.
Indianapolis, IN · Hybrid
$17 - $23/hr
... claims management system and ensuring all documentation is complete and up to date. * Coordinate external vendors by engaging appraisers, attorneys, and contractors, to support the claims process.
Indianapolis, IN · Hybrid
$17 - $23/hr
... claims management system and ensuring all documentation is complete and up to date. * Coordinate external vendors by engaging appraisers, attorneys, and contractors, to support the claims process.
Indianapolis, IN · On-site
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 ...
Indianapolis, IN · On-site
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 ...
Carmel, IN · On-site
$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 ...
Carmel, IN · On-site
$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 ...
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 ...
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 ...
Fort Wayne, IN · On-site
$20/hr
... 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 ...
Fort Wayne, IN · On-site
$20/hr
... 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 ...
Carmel, IN · Hybrid
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 ...
Carmel, IN · Hybrid
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 ...
| Aspect | Manager Medicaid Claims Processing | Claims Analyst |
|---|---|---|
| Credentials | Relevant certifications (e.g., CPC, CPC-H), experience in Medicaid claims | Similar certifications, often entry to mid-level experience |
| Work Environment | Supervisory role overseeing teams, administrative tasks | Data analysis, claims review, and processing |
| Employer & Industry | Healthcare providers, Medicaid agencies, insurance companies | Healthcare 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.
The most popular types of Medicaid Claims Processing jobs in Indiana are:
For Manager Medicaid Claims Processing jobs in Indiana, the most frequently searched job titles are:
The top searched job categories for Manager Medicaid Claims Processing jobs in Indiana are:
Cities in Indiana with the most Manager Medicaid Claims Processing job openings:
Contractor
Re-posted 26 days ago
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.
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Recruiting and staffing services
11 - 50 Employees
Lawrence, MA, US
2019