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Medicaid Software Jobs in Indiana (NOW HIRING)

Communicarehealth

Medicaid Biller

Indianapolis, IN

Prior experience preferably with related software applications. KNOWLEDGE/SKILLS/ABILITIES ... This position will handle Traditional Medicaid and Pathways billing * Ensure all claims have been ...

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Medicaid Software information

What is Medicaid software?

Medicaid software refers to specialized technology platforms and applications designed to support the administration, management, and delivery of Medicaid health programs. These software systems help state agencies, healthcare providers, and payers manage eligibility, claims processing, member enrollment, reporting, and compliance with federal and state regulations. Medicaid software plays a crucial role in improving efficiency, reducing errors, and ensuring that Medicaid beneficiaries receive appropriate coverage and services. It can include modules for case management, billing, analytics, and provider management. Modern Medicaid software often integrates with other health information systems to facilitate seamless data exchange.

What are some common challenges faced by professionals working with Medicaid software systems?

Professionals working with Medicaid software often encounter challenges such as navigating frequently changing federal and state regulations, integrating new modules with legacy systems, and ensuring data security and privacy in compliance with HIPAA. Additionally, collaborating with diverse stakeholders—including healthcare providers, government agencies, and IT teams—requires strong communication and project management skills. Staying updated with evolving technology standards and maintaining system interoperability are also key aspects of the role.

What are the key skills and qualifications needed to thrive as a Medicaid software specialist, and why are they important?

To thrive as a Medicaid Software Specialist, you need a solid background in healthcare IT, knowledge of Medicaid regulations, and experience with software development or implementation, typically supported by a degree in computer science or health informatics. Familiarity with Medicaid Management Information Systems (MMIS), claims processing tools, and compliance software is essential. Strong analytical skills, attention to detail, and effective communication help bridge the gap between technical teams and healthcare administrators. These skills ensure efficient, compliant, and user-friendly Medicaid systems that support both organizational goals and regulatory requirements.

What is the difference between Medicaid Software vs Medicaid Claims Specialist?

AspectMedicaid SoftwareMedicaid Claims Specialist
Primary RoleSoftware tools used to manage Medicaid data, billing, and complianceProcessing and reviewing Medicaid claims for accuracy and reimbursement
Required SkillsTechnical skills, software proficiency, data managementKnowledge of Medicaid policies, claims processing, attention to detail
Work EnvironmentHealthcare IT companies, software vendors, healthcare providersHealthcare facilities, insurance companies, Medicaid agencies
CertificationsNone typically required, but IT certifications helpfulMedical billing certifications, Medicaid-specific training

Medicaid Software refers to the tools and systems used to manage Medicaid data and billing processes, while Medicaid Claims Specialists focus on processing and verifying Medicaid claims. Both roles are essential in the Medicaid industry but serve different functions—one in software management and the other in claims processing.

What are popular job titles related to Medicaid Software jobs in Indiana?

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

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

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

What cities in Indiana are hiring for Medicaid Software jobs?

Cities in Indiana with the most Medicaid Software job openings:

Medicaid Software jobs near you

Medicaid Biller

CommuniCare Family of Companies

Indianapolis, IN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 28 days ago

Job description

Job Address:
8275 Allison Pointe Trail Suite 370Indianapolis, IN 46250
Medicaid Biller
CommuniCare Health Services is currently recruiting a Medicaid Biller for our Central Billing Office located in Indianapolis, IN.
PURPOSE/BELIEF STATEMENT
The position of Medicaid Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.
WHAT WE OFFER
All CommuniCare employees enjoy competitive wages and PTO (Paid Time Off) plans. We offer full time employees a menu of benefit options that include:
  • Life Insurance and Disability Plans
  • Medical, dental, and vision coverage from quality benefit carriers
  • 401K with employer match
  • Flexible Spending Accounts

QUALIFICATIONS/EXPERIENCE REQUIREMENTS
  • High School graduate or GED required.
  • Prior Work/Life experience, preferably in a long term care setting.
  • Prior work/life experiences, preferably in a healthcare setting.
  • Prior experience preferably with related software applications.

KNOWLEDGE/SKILLS/ABILITIES
  • Knowledge of medical billing/collection practices.
  • Must be knowledgeable of accounts receivable practices and procedures, as well as laws, regulations and guidelines that pertain to long term care.
  • Must have a high degree of attention to detail.
  • Must have the ability to make independent decisions when circumstances warrant such action, sense of urgency.
  • Strong mathematical, written and verbal communication skills.
  • Basic computer literacy and skills
  • Strong organizational skills a must.

JOB DUTIES AND RESPONSIBILITIES
  • This position will handle Traditional Medicaid and Pathways billing
  • Ensure all claims have been submitted and exported correctly according to each payer's Billing Procedure.
  • Follow up on unpaid claims within the standard billing cycle time frame.
  • Post all payments received against the appropriate claim.
  • Check each insurance payment for accuracy and compliance with contract discount.
  • Prepare necessary adjustments, enter into billing system, and provide backup documentation to Supervisor.
  • Research, resolve, resubmit, and/or appeal all denied claims in a timely manner.
  • Prepare appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal.
  • Maintain Medicaid bad-debt log by tracking billings, monitoring collections, compiling information
  • Review and audit A/R aging reports as necessary.
  • Write thorough collection notes on billing activity with clear and reliable data.
  • Prepare Weekly/Monthly Reports as instructed by the CBO Team Manager.
  • Maintain work operations by following policies and procedures, reporting compliance issues.
  • Maintain quality results by following standards.
  • Other duties as assigned

About Us
A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.

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