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Medicaid Claims Processing Jobs in Indiana (NOW HIRING)

American Health Partners

Claims Auditor

Indianapolis, IN · Hybrid

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Proficient in processing/auditing claims for Medicare and Medicaid plans * Strong knowledge of CMS requirements regarding claims processing, especially regarding skilled nursing facilities and other ...

Trans-Care Ambulance

Billing Representative

Terre Haute, IN · On-site

$17 - $22/hr

  • PTO

Previous medical billing, patient accounts, insurance follow-up, claims processing or revenue cycle experience preferred, but not required to apply. * Knowledge of Medicare, Medicaid, Commercial ...

Wellpath

Medicaid Support Specialist

Indianapolis, IN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... claims to prevent unnecessary costs. Responsibilities also include supporting internal process ... Communicate Medicaid policy updates and organizational changes * Escalate issues to departmental ...

Wellpath

Medicaid Support Specialist

Indianapolis, IN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... claims to prevent unnecessary costs. Responsibilities also include supporting internal process ... Communicate Medicaid policy updates and organizational changes * Escalate issues to departmental ...

Raphael Health Center Inc

Biller

Indianapolis, IN · On-site

$17.50 - $22.50/hr

  • Medical

  • Dental

... claims processing, and medical coding. * Have a thorough understanding of managed care concepts including HMO, MCE and capitation * Have a solid understanding of Medicaid and Medicare. * Have a solid ...

Raphael Health Center Inc

Certified Medical Coder

Indianapolis, IN · On-site

$21.50 - $29.50/hr

  • Medical

  • Dental

... claims processing, and medical coding. * Have a thorough understanding of managed care concepts including HMO, MCE and capitation * Have a solid understanding of Medicaid and Medicare. * Have a solid ...

Elevance Health

eCOB Specialist II

Indianapolis, IN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as ... Medicaid experience strongly preferred * Strong organizational and time management skills preferred ...

Elevance Health

Sr Test Analyst PBM

Indianapolis, IN · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Pharmacy Benefit experience & Clinical knowledge. * 4+ years of experience in the US Healthcare domain (Commercial/Medicaid/Medicare) supporting pharmacy including claims processing and benefit ...

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All JobsMedicaid Claims Processing JobsMedicaid Claims Processing Jobs in Indiana

Medicaid Claims Processing information

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How much do medicaid claims processing jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for medicaid claims processing in Indiana is $18.24, according to ZipRecruiter salary data. Most workers in this role earn between $15.58 and $19.66 per hour, depending on experience, location, and employer.

What is a Medicaid claims processing job?

A Medicaid Claims Processing job involves reviewing, verifying, and processing healthcare claims submitted by providers seeking reimbursement for services rendered to Medicaid beneficiaries. Workers in this role ensure claims comply with state and federal regulations, identify errors or discrepancies, and communicate with healthcare providers to resolve issues. They may also use specialized software to input and track claims, process denials or appeals, and ensure timely and accurate payments. Strong attention to detail, knowledge of Medicaid policies, and proficiency with healthcare billing codes are essential for success in this role.

How to get a job as a Medicaid Claims Processing specialist?

To become a Medicaid Claims Processing specialist, candidates typically need a high school diploma or equivalent, with some roles requiring an associate degree or relevant certification. Experience with healthcare billing, claims processing software, and knowledge of Medicaid policies are important; familiarity with tools like claims management systems can improve job prospects. Applying through healthcare organizations, government agencies, or staffing agencies and demonstrating attention to detail and knowledge of healthcare regulations are key steps.

Is a Medicaid Claims Processing job in demand?

Medicaid Claims Processing jobs are in demand due to the ongoing need for healthcare administration and insurance claims management. These roles often require attention to detail and familiarity with claims processing software, and employment opportunities are expected to grow with the expansion of healthcare programs.

What are some typical challenges faced in Medicaid claims processing, and how can I prepare for them?

One of the main challenges in Medicaid Claims Processing is staying up-to-date with frequently changing policies, billing codes, and compliance requirements, which can vary by state and program. Professionals in this role must pay close attention to detail to avoid errors and denials, often working with tight deadlines and large volumes of claims. To prepare, it's helpful to become familiar with Medicaid guidelines, maintain strong organizational habits, and proactively seek out updates in regulations or coding standards. Collaborating with other team members, such as care coordinators and billing specialists, is essential to ensure claims are accurate and properly documented. Ongoing learning and adaptability are key for long-term success in this dynamic environment.

What are the key skills and qualifications needed to thrive in Medicaid claims processing?

Success in Medicaid Claims Processing requires excellent attention to detail, a thorough understanding of healthcare billing procedures, and familiarity with Medicaid regulations and insurance guidelines. Proficiency in medical billing software, claims management systems, and sometimes industry certifications such as Certified Professional Coder (CPC) is beneficial. Strong organizational skills, problem-solving abilities, and effective written and verbal communication help individuals excel in this role. These skills and qualifications are crucial for ensuring accurate, timely claims processing and compliance with ever-evolving Medicaid requirements.

Is Medicaid claims processing a stressful job?

Medicaid claims processing can be stressful due to the high volume of claims, strict deadlines, and the need for accuracy to prevent errors. Employees often work with detailed data and may experience pressure during busy periods or when resolving complex issues, but proper training and workflow management can help mitigate stress.

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 Medicaid Claims Processing jobs in Indiana?

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

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

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

Medicaid Claims Processing jobs near you
Infographic showing various Medicaid Claims Processing job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $37,933 per year, or $18.2 per hour.

Claims Auditor

American Health Partners

Indianapolis, IN • Hybrid

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Louisiana, Iowa, and Idaho with planned expansion into other states in 2024. For more information, visit AmHealthPlans.com. 

If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! 

Benefits and Perks include:

  • Affordable Medical/Dental/Vision insurance options
  • Generous paid time-off program and paid holidays for full time staff
  • TeleMedicine 24/7/365 access to doctors
  • Optional short- and long-term disability plans
  • Employee Assistance Plan (EAP)
  • 401K retirement accounts
  • Employee Referral Bonus Program

ESSENTIAL JOB DUTIES:

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. 

  • Conduct pre-pay and post-pay audits to ensure accurate claims payments and denials
  • Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of claims processing standards
  • Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment
  • Work assigned claim projects to completion
  • Provide a high level of customer service to internal and external customers; achieve quality and productivity goals
  • Escalate appropriate claims/audit issues to management as required; follow departmental/organizational policies and procedures
  • Maintain production and quality standards as established by management
  • Participate in and support ad-hoc audits as needed
  • Other duties as assigned

JOB REQUIREMENTS:

  • Proficient in processing/auditing claims for Medicare and Medicaid plans
  • Strong knowledge of CMS requirements regarding claims processing, especially regarding skilled nursing facilities and other complex claim processing rules and regulations
  • Current experience with both Institutional and Professional claim payments
  • Knowledge of automated claims processing systems
  • Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office.

REQUIRED QUALIFICATIONS:

  • Experience:
    • Two (2) years’ experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system
    • Two (2) years’ experience in managed healthcare environment related to claims processing/audit
    • Two (2) years’ experience with standard coding and reference materials used in a claim setting, such as CPT4, ICD10 and HCPCS
    • Two (2) years’ experience with CMS requirements regarding claims processing; especially Skilled Nursing Facility and other complex claim processing rules and regulations
    • Two (2) years’ experience processing/auditing claims for Medicare and Medicaid plans
  • License/Certification(s):
    • Coding certification preferred

EQUAL OPPORTUNITY EMPLOYER

Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.

 This employer participates in E-Verify.

American Health Partners logo

About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

Social media

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