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Medicare Reviewer Jobs in Indiana (NOW HIRING)

Humana

Medicare Sales Field Agent - Lake County

Gary, IN

$80K - $125K/yr

As part of a collaborative team of 8-12 Medicare Sales Field Agents, you'll work under the guidance ... State driver's license is subject to driver license validation and MVR review. Individuals must ...

Humana

Medicare Sales Field Agent - Lake County

Hammond, IN · On-site

$80K - $125K/yr

As part of a collaborative team of 8-12 Medicare Sales Field Agents, you'll work under the guidance ... State driver's license is subject to driver license validation and MVR review. Individuals must ...

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How much do medicare reviewer jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for medicare reviewer in Indiana is $28.44, according to ZipRecruiter salary data. Most workers in this role earn between $21.49 and $34.76 per hour, depending on experience, location, and employer.

What is a Medicare reviewer?

A Medicare Reviewer is responsible for evaluating medical claims, patient records, and healthcare services to ensure they meet Medicare guidelines and regulations. They analyze documentation to determine medical necessity, accuracy, and compliance with federal policies. Medicare Reviewers may work for government agencies, private insurance companies, or healthcare organizations to prevent fraud and ensure proper billing. Strong attention to detail, knowledge of Medicare policies, and experience in medical coding or auditing are essential for this role.

What are the key skills and qualifications needed to thrive as a Medicare reviewer?

A successful Medicare Reviewer typically holds a healthcare-related degree and possesses a deep understanding of Medicare regulations, coding guidelines, and medical terminology. Experience with claims processing software, electronic health records (EHRs), and knowledge of CMS guidelines or certifications such as Certified Professional Coder (CPC) are often required. Strong attention to detail, analytical thinking, and clear written communication are essential soft skills in this role. Together, these skills ensure accurate claims evaluation, regulatory compliance, and effective communication with providers and payers.

What are the common challenges faced by Medicare reviewers in their daily work?

Medicare Reviewers often encounter the challenge of interpreting complex medical documentation and ensuring claims meet evolving Medicare guidelines. The role requires staying current on frequently changing regulations, which demands ongoing learning and adaptability. Balancing efficiency with accuracy is crucial, as reviewers may handle a high volume of cases with varying complexity. Collaborating with medical providers, billing teams, and compliance staff is a regular part of the job, which enhances accuracy but can introduce coordination challenges. Despite these hurdles, many Medicare Reviewers find the work rewarding as it directly impacts patient care quality and healthcare cost management.

What are the most commonly searched types of Medicare Reviewer jobs in Indiana?

The most popular types of Medicare Reviewer jobs in Indiana are:

What are popular job titles related to Medicare Reviewer jobs in Indiana?

For Medicare Reviewer jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Medicare Reviewer jobs in Indiana look for?

The top searched job categories for Medicare Reviewer jobs in Indiana are:

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Cities in Indiana with the most Medicare Reviewer job openings:

Medicare Reviewer jobs near you
Infographic showing various Medicare Reviewer job openings in Indiana as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $59,148 per year, or $28.4 per hour.

Medicare Part D Specialist

EVERENCE SERVICES,

Goshen, IN • On-site

Temporary

Re-posted 18 days ago

Job description

POSITION SUMMARY
Review and assist Everence Medicare Supplement members with Medicare Part D.

RESPONSIBILITIES AND DUTIES

  1. Develop and maintain a strong understanding of Medicare Part D prescription drug plans and apply this knowledge when evaluating plan options for members.
  2. Utilize the Medicare Planfinder web tool to assist members in selecting an appropriate Medicare Part D prescription drug plan.
  3. Schedule and meet with members via phone or Microsoft Teams to discuss recommended prescription drug plans and help them assess a final plan choice selection.
  4. Contact members to request additional information and follow-up.
  5. Audit Medicare Part D Data entry forms and documents to ensure accuracy.
  6. Document member interactions and plan details using the customer relationship management system (CRM) and documents system (OnBase).
  7. Collaborate with field offices to support member needs and ensure coordinated service.
  8. Other tasks as needed.


QUALIFICATIONS

Experience:
Experience or interest in working and communicating with members 65+ years of age

Skills and Abilities:

  1. Strong service orientation
  2. Accuracy and attention to detail
  3. Excellent overall verbal and written communication skills
  4. Experience working purposefully to accommodate a busy schedule
  5. Ability to keep absolute confidentiality of client information
  6. Ability to use objective and subjective information to help members make plan choices
  7. Comfortable using a computer and doing data input
  8. Familiarity with medication names and medical terminology is preferred, but not required
  9. Basic knowledge of how Medicare works is preferred, but not required
  10. Alignment in supporting the Everence mission of empowering financial well-being for faith-inspired living


SUPERVISORY RESPONSIBILITIES: None
SCHEDULE: Temporary (approximately end of September to mid-December) 20-40 hours/week; schedule is negotiable