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Remote Bcba Insurance Reviewer Jobs in Indiana (NOW HIRING)

Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... Reviews existing work processes to prioritize and execute internal department improvements. * Makes ...

License reimbursement and malpractice insurance included * Continuing education hours provided ... Here's what you can expect: * You're not just reviewing results -- you're conducting exams ...

License reimbursement and malpractice insurance included * Continuing education hours provided ... Here's what you can expect: * You're not just reviewing results - you're conducting exams, engaging ...

License reimbursement and malpractice insurance included * Continuing education hours provided ... Here's what you can expect: * You're not just reviewing results - you're conducting exams, engaging ...

... Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and ... Write and review repair estimates, evaluate contractor estimates, and determine appropriate claim ...

Senior E&S Underwriter

Carmel, IN · On-site +1

$91K - $140K/yr

If so, FCCI Insurance Group is the company for you! We are currently seeking an experienced Senior ... Reviews individual risks submitted by assigned agents to determine acceptability within company ...

Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... Review work of Consultants and Analysts and oversees the successful completion of projects within ...

Review work of peers and provide training to junior analysts * Develops and analyzes data related ... Develops and analyzes new methodologies for insurance rating and loss reserving Required Experience ...

$59K - $77K/yr

Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... Work from a diary system to review and resolve claims within state compliance guidelines, policy ...

Ability to review error logs & debugging skills * Adept at writing SQL queries * Familiarity with S ... Excellent fringe benefits including Health, Dental, Vision and Life and Disability insurance

Showing results 21-40

Remote Bcba Insurance Reviewer information

What are the key skills and qualifications needed to thrive as a remote BCBA insurance reviewer?

To excel as a Remote BCBA Insurance Reviewer, you need board certification as a Behavior Analyst (BCBA), in-depth knowledge of ABA therapy, and experience with insurance review processes. Familiarity with electronic medical records (EMR), insurance billing software, and relevant documentation systems is crucial. Attention to detail, strong written communication, and the ability to interpret clinical data are vital soft skills for this role. These competencies ensure accurate authorization of services, compliance with payer requirements, and timely support for clients and providers in a remote setting.

What is the difference between Remote Bcba Insurance Reviewer vs Remote Bcba Case Coordinator?

AspectRemote Bcba Insurance ReviewerRemote Bcba Case Coordinator
CertificationsBCBA, insurance knowledgeBCBA, case management experience
Work EnvironmentReviewing insurance claims remotelyCoordinating client cases remotely
Employer & IndustryInsurance companies, healthcare providersHealthcare organizations, therapy providers

The Remote Bcba Insurance Reviewer primarily evaluates insurance claims related to behavioral therapy, focusing on policy compliance. In contrast, the Remote Bcba Case Coordinator manages client cases, coordinating services and treatment plans. Both roles require BCBA certification and involve remote work, but their core responsibilities differ—one reviews insurance, the other manages client cases.

What are some typical challenges a remote BCBA insurance reviewer may encounter when working with insurance claims?

As a Remote BCBA Insurance Reviewer, you may face challenges such as navigating varying insurance policies and requirements, managing high volumes of documentation, and ensuring timely communication with providers and clients. Each insurance company may have unique criteria for approving ABA services, requiring careful attention to detail and up-to-date knowledge of policy changes. Additionally, working remotely means consistently coordinating with multidisciplinary teams and maintaining secure, accurate records while meeting productivity expectations.

What is a remote BCBA insurance reviewer?

A Remote BCBA Insurance Reviewer is a Board Certified Behavior Analyst (BCBA) who works remotely to review and assess insurance claims related to applied behavior analysis (ABA) services. Their primary role is to evaluate treatment plans and documentation to ensure they meet insurance requirements for reimbursement. They help facilitate communication between ABA providers and insurance companies, ensuring that clients receive the coverage and services they are entitled to. This position typically requires a current BCBA certification, knowledge of insurance policies, and strong attention to detail.
What are the most commonly searched types of Bcba Insurance Reviewer jobs in Indiana? The most popular types of Bcba Insurance Reviewer jobs in Indiana are:
What cities in Indiana are hiring for Remote Bcba Insurance Reviewer jobs? Cities in Indiana with the most Remote Bcba Insurance Reviewer job openings:
Infographic showing various Remote Bcba Insurance Reviewer job openings in Indiana as of August 2026, with employment types broken down into 62% Full Time, and 38% Part Time. Highlights an 100% Remote job distribution.

Medicare Advantage Member Services Representative

SIHO Insurance Services

Columbus, IN • On-site, Remote

Full-time

Posted 2 days ago

New


Job description

Job Title: Medicare Advantage Member Services Representative 
Reports To: Manager, MytruAdvantage Customer Service

Our Vision
SIHO Insurance Services will be the premier healthcare delivery system administration company, known and respected for its Insurance high quality people, innovative products and outstanding services.

Location Requirement: This position is based in Columbus, IN and is not eligible for remote work or relocation. Candidates must reside in or be willing to commute to Columbus.

MTA Member Services

SIHO’s Member Services Representatives assist in creating an excellent experience for SIHO’s members and their providers. The primary responsibility of this position is to respond to member’s and providers inquiries. This position mainly responds to telephonic inquiries but may also be responsible for responding to written inquiries and assisting walk-in members. This is a non-exempt position.

Brief Description of Duties:

  • Assist members with navigating their healthcare needs by explaining benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate

  • Comply with regulatory requirements while addressing customer needs which may include complex benefit questions.

  • Record details of inquiries, comments, complaints, and transactions.

  • Escalate unresolved and pending customer grievances.

  • Support teammates as business needs require to ensure the organization is meeting the needs of our members and providers

  • Strive for first call resolution while demonstrating SIHO’s dedication to proactively work to resolve members questions and concerns.

  • Work with partners in other departments, or to Doctors’ offices to help resolve a customer concern.

  • Support your teammates as business needs require to ensure we are meeting the needs of our customers.

  • Performs other relevant duties deemed necessary to achieve department and company-wide goals.

Traits we are looking for:

  • Trustworthy Empathic Proactive

  • Compassionate Good Listener Problem Solver

  • Communicator Patient Personable & Collaborative

Schedule & Work Environment:

  • Full-time position with hybrid work arrangement (3 days in office, 2 days remote)

  • Annual schedule divided into two seasons:

Peak Season (October 1 - March 31)

  • Team coverage required 7 days/week, 8am-9pm

  • Available shifts: 8am-5pm, 9am-6pm, 12pm-9pm (remote), and 10am-7pm as needed

  • Weekend requirement: Minimum 2 weekends per month (remote shifts 12pm-9pm or 10am-7pm)

  • Schedules provided one month in advance with consideration for employee preferences

Off-Peak Season (April 1 - September 30)

  • Monday-Friday coverage between 8am-9pm

  • Available shifts: 8am-5pm, 9am-6pm, or 12pm-9pm (remote)

  • Must work one late shift per week (either 9am-6pm or 12pm-9pm)

Minimum Skills Requirement:

  • Possess a passion for customer service

  • Excellent communications (oral and written) and strong listening skills

  • General knowledge and understanding of health insurance

  • Knowledge of Medicare Advantage is preferred, but not required

  • This job calls for strong emotional intelligence to proactively provide solutions, ensuring the member's health and safety

  • Ability to maintain attendance to support required quality and quantity of work

  • Professional appearance and presence

  • Commitment to support and maintain confidentiality in conformance to HIPAA guidelines

Required Education:

  • High School Diploma and 2 years of Customer service experience

  • Working experience of Microsoft Office or other comparable software

Note: This position supports Medicare Advantage/MyTruAdvantage products, requiring weekend availability during peak season to ensure continuous member support.

*All positions are subject to change based on the needs of the business

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.