Indianapolis, IN · Hybrid
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
Indianapolis, IN · Hybrid
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
Indianapolis, IN · Hybrid
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
Indianapolis, IN · Hybrid
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
Indianapolis, IN · On-site
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
Indianapolis, IN · On-site
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
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 ...
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 ...
Job Duties : • Reviewing Medicaid Enrollment Reports daily and processing correct Medicaid ... Required0 Prior experience working with Medicaid enrollment or Medicaid claims.Required1YearsPrior ...
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Job Duties : • Reviewing Medicaid Enrollment Reports daily and processing correct Medicaid ... Required0 Prior experience working with Medicaid enrollment or Medicaid claims.Required1YearsPrior ...
Preferred Qualifications · Highschool/GED or equivalent · Experience with Indiana Medicaid · Experience with claims systems, adjudication, submission processes, coding, and/or dispute resolution.
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Preferred Qualifications · Highschool/GED or equivalent · Experience with Indiana Medicaid · Experience with claims systems, adjudication, submission processes, coding, and/or dispute resolution.
Overview The Medicaid Support Specialist provides expertise and assistance to field staff in ... claims to prevent unnecessary costs. Responsibilities also include supporting internal process ...
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Overview The Medicaid Support Specialist provides expertise and assistance to field staff in ... claims to prevent unnecessary costs. Responsibilities also include supporting internal process ...
Terre Haute, IN · On-site
$17 - $22/hr
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 ...
Terre Haute, IN · On-site
$17 - $22/hr
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 ...
... claims to prevent unnecessary costs. Responsibilities also include supporting internal process ... Communicate Medicaid policy updates and organizational changes * Escalate issues to departmental ...
... claims to prevent unnecessary costs. Responsibilities also include supporting internal process ... Communicate Medicaid policy updates and organizational changes * Escalate issues to departmental ...
Indianapolis, IN · On-site
$21.50 - $29.50/hr
... 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 ...
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Indianapolis, IN · On-site
$21.50 - $29.50/hr
... 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 ...
... claims to prevent unnecessary costs. Responsibilities also include supporting internal process ... Communicate Medicaid policy updates and organizational changes * Escalate issues to departmental ...
New
Quick apply
... claims to prevent unnecessary costs. Responsibilities also include supporting internal process ... Communicate Medicaid policy updates and organizational changes * Escalate issues to departmental ...
New
The Medicaid Support Specialist provides expertise and assistance to field staff in Medicaid ... claims to prevent unnecessary costs. Responsibilities also include supporting internal process ...
New
The Medicaid Support Specialist provides expertise and assistance to field staff in Medicaid ... claims to prevent unnecessary costs. Responsibilities also include supporting internal process ...
New
... claims processing, payment posting, denial management, collections, and provider enrollment ... Perform follow-up activities with commercial insurance, Medicare, Medicaid, Managed Care ...
... claims processing, payment posting, denial management, collections, and provider enrollment ... Perform follow-up activities with commercial insurance, Medicare, Medicaid, Managed Care ...
Minimum of one (1) year experience in processing Medicare/Medicaid claims. * Exceptional, positive, and professional written and communication skills. * Excellent work ethic, including positive ...
Minimum of one (1) year experience in processing Medicare/Medicaid claims. * Exceptional, positive, and professional written and communication skills. * Excellent work ethic, including positive ...
Minimum of one (1) year experience in processing Medicare/Medicaid claims. * PREFERRED: Minimum of one (1) year experience with nebulizer and equipment and supplies. * Exceptional, positive, and ...
Minimum of one (1) year experience in processing Medicare/Medicaid claims. * PREFERRED: Minimum of one (1) year experience with nebulizer and equipment and supplies. * Exceptional, positive, and ...
... and Medicaid and report to identify members who are or should be enrolled in other coverage ... Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as ...
... and Medicaid and report to identify members who are or should be enrolled in other coverage ... Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as ...
Minimum of one (1) year experience in processing Medicare/Medicaid claims. * Exceptional, positive, and professional written and communication skills. * Excellent work ethic, including positive ...
Minimum of one (1) year experience in processing Medicare/Medicaid claims. * Exceptional, positive, and professional written and communication skills. * Excellent work ethic, including positive ...
... and Medicaid and report to identify members who are or should be enrolled in other coverage ... Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as ...
... and Medicaid and report to identify members who are or should be enrolled in other coverage ... Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as ...
Minimum of one (1) year experience in processing Medicare/Medicaid claims. * Exceptional, positive, and professional written and communication skills. * Excellent work ethic, including positive ...
Minimum of one (1) year experience in processing Medicare/Medicaid claims. * Exceptional, positive, and professional written and communication skills. * Excellent work ethic, including positive ...
Familiarity with third-party reimbursement rules, including Medicare and Medicaid, is necessary for effective claims processing. Experience in both hospital and physician coding environments will ...
Familiarity with third-party reimbursement rules, including Medicare and Medicaid, is necessary for effective claims processing. Experience in both hospital and physician coding environments will ...
$11.44 - $12.68
2% of jobs
$12.68 - $13.93
6% of jobs
$13.93 - $15.18
9% of jobs
$15.83 is the 25th percentile. Wages below this are outliers.
$15.18 - $16.43
14% of jobs
$16.43 - $17.68
18% of jobs
The median wage is $17.71 / hr.
$17.68 - $18.92
17% of jobs
$19.61 is the 75th percentile. Wages above this are outliers.
$18.92 - $20.17
16% of jobs
$20.17 - $21.42
7% of jobs
$21.42 - $22.67
4% of jobs
$22.67 - $23.91
4% of jobs
$23.91 - $25.16
2% of jobs
$11
$18
$25
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.
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.
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.
$86K - $123K/yr
Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 26 days ago
7.8
Based on 78 frontline employees who took The Breakroom Quiz
136th of 245 rated software companies
It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
As a Claims Manager at Gainwell Technologies, you will lead claims operations supporting Indiana Medicaid programs while ensuring service excellence, regulatory compliance, and operational efficiency. This role is responsible for overseeing claims processing functions, driving performance improvements, supporting client relationships, and leading teams responsible for delivering high-quality claims outcomes.
This is a pipeline requisition intended to proactively build a strong pool of qualified candidates for upcoming business needs. We will be actively reviewing applications, conducting screenings, and coordinating interviews on an ongoing basis. Our goal is to identify qualified talent in anticipation of filling this position by July 2026.
Please note that cameras will be required to be turned on during video screening calls and interview meetings as part of the interview process.
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The pay range for this position is $86,000 - $123,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
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With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.
Health care and social assistance
10,000+ Employees
Irving, TX, US
