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Remote Claims Recovery Analyst Jobs in Indiana (NOW HIRING)

CSAA

... recover from life's uncertainties. You will join a collaborative, inclusive culture where your ... Conduct impact assessments, partner analyses, and readiness assessments to inform change strategies.

CSAA

... recover from life's uncertainties. You will join a collaborative, inclusive culture where your ... Beyond delivering high-impact analytics, this person will help strengthen CSAA's internal ...

Harris

Lead and mentor a small team of customer support analysts, providing mentorship, performance ... Hands-on knowledge of Medical Billing Software systems, claims processing workflows, insurance ...

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Remote Claims Recovery Analyst information

What are the key skills and qualifications needed to thrive as a remote claims recovery analyst, and why are they important?

To thrive as a Remote Claims Recovery Analyst, you need strong analytical skills, attention to detail, and a background in finance, healthcare, or insurance, often supported by a relevant degree or experience. Familiarity with claims management software, data analysis tools, and Excel is typically required, and knowledge of industry regulations or certifications like Certified Professional Coder (CPC) can be beneficial. Excellent communication, problem-solving, and organizational skills are crucial for collaborating with stakeholders and managing multiple recovery cases efficiently. These competencies ensure accurate claims resolution, maximize recoveries, and uphold compliance in a remote working environment.

What is a remote claims recovery analyst?

A Remote Claims Recovery Analyst is a professional who reviews, investigates, and processes insurance or healthcare claims to identify overpayments, errors, or discrepancies. They work remotely to recover funds owed to the organization by analyzing claim data, communicating with clients or providers, and ensuring compliance with regulations. This role typically involves using specialized software, collaborating with other departments, and providing detailed reports on recovery activities. Strong analytical skills, attention to detail, and knowledge of insurance or healthcare claims processes are essential for success in this position.

What is the difference between Remote Claims Recovery Analyst vs Remote Insurance Claims Adjuster?

AspectRemote Claims Recovery AnalystRemote Insurance Claims Adjuster
Required CredentialsClaims certification, insurance knowledgeAdjuster license, insurance certification
Work EnvironmentOffice or remote, claims departmentRemote or on-site, claims handling
Employer & IndustryInsurance companies, third-party administratorsInsurance carriers, independent agencies
Common Search & ComparisonClaims recovery, debt collectionClaims assessment, settlement

The Remote Claims Recovery Analyst primarily focuses on recovering owed funds through claims analysis and debt collection, often working with insurance companies or third-party agencies. In contrast, the Remote Insurance Claims Adjuster evaluates and settles insurance claims, handling damage assessments and policy coverage. While both roles require insurance knowledge and certifications, their core functions differ—recovery versus claims settlement. Understanding these distinctions helps job seekers find the role that best matches their skills and career goals.

What are some common challenges faced by remote claims recovery analysts, and how can they be managed effectively?

Remote Claims Recovery Analysts often encounter challenges such as navigating complex insurance policies, managing large volumes of claims, and coordinating with multiple stakeholders virtually. To manage these effectively, strong organizational skills and attention to detail are essential. Proactive communication with clients, colleagues, and third-party payers, along with staying current on industry regulations, helps ensure accurate and timely claim resolutions. Regular check-ins with your remote team and leveraging digital workflow tools can also improve efficiency and collaboration.
What are popular job titles related to Remote Claims Recovery Analyst jobs in Indiana? For Remote Claims Recovery Analyst jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Remote Claims Recovery Analyst jobs in Indiana look for? The top searched job categories for Remote Claims Recovery Analyst jobs in Indiana are:
What cities in Indiana are hiring for Remote Claims Recovery Analyst jobs? Cities in Indiana with the most Remote Claims Recovery Analyst job openings:
Remote Claims Recovery Analyst jobs near you

Medical Coder - Audit Specialist

Briljent

Indianapolis, IN • Remote

Full-time

Re-posted 14 hours ago

Job description

Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role is responsible for reviewing medical records and claims-related documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and writing skills. This is a remote position with occasional travel required within Indiana.

While this position is remote, Indiana residents encouraged to apply.

Key Responsibilities

  • Review medical records and related documentation to assess coding accuracy and compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations.
    Conduct coding and documentation reviews independently and provide preliminary findings to the Lead Reviewer.
    Identify potential coding discrepancies, documentation deficiencies, and billing compliance issues.
    Maintain detailed workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached.
  • Assist with audit responses and appeals as needed.
    Ensure all work aligns with state, federal, and national coding and reimbursement guidelines.
    Stay current on CPT, HCPCS, ICD-10-CM, and Medicaid coding guidelines, policies, and regulatory updates.
  • Research Indiana Medicaid rules and maintain internal repositories of bulletins, policies, and procedures.
    Adapt quickly to changing priorities, policies, regulatory updates, and review requirements while maintaining accuracy and meeting deadlines.

Requirements

  • Coding certification such as CCS, CPC, or CPMA required. 
  • At least 1 year of medical coding, claims review, billing compliance, or related healthcare reimbursement experience.  
  • Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred.  
  • Candidate located in or near the Indianapolis area preferred.  
  • Proficiency in Microsoft Excel, Word, and Outlook.  
  • Strong analytical, critical thinking, problem-solving, and technical writing skills.  
  • Ability to work independently and collaboratively in a fast-paced environment.  
  • Experience working with healthcare providers strongly preferred.  
  • Knowledge of healthcare claims data and fraud, waste, and abuse preferred.

Physical Requirements & Environmental Conditions: An employee must meet these physical demands to successfully perform the essential functions of this job. Employee is regularly required to talk or hear, sit, and utilize technology tools such as a laptop computer for extended periods of time. Specific vision abilities include close vision and the ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Briljent is a solutions-based company.  Solutions come from creative ideas; ideas come from being creative with differences.  Briljent believes diversity and inclusion are critical to the success of the company.  Employment at Briljent is based on merit and professional qualifications.  We do not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance. 

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