Goshen, IN · Remote
$18 - $23.75/hr
Escalates unpaid claims to payer claims supervisor as appropriate when regular follow-up efforts ... Work from home and remote location with a stable internet connection, a quiet and dedicated ...
Goshen, IN · Remote
$18 - $23.75/hr
Escalates unpaid claims to payer claims supervisor as appropriate when regular follow-up efforts ... Work from home and remote location with a stable internet connection, a quiet and dedicated ...
This is a remote position with occasional travel required within Indiana. While this position is ... At least 1 year of medical coding, claims review, billing compliance, or related healthcare ...
This is a remote position with occasional travel required within Indiana. While this position is ... At least 1 year of medical coding, claims review, billing compliance, or related healthcare ...
Familiarity with revenue cycle workflows, including billing, claims, and accounts receivable ... Remote-first -- work from home within our approved states * Growth: Tailored professional ...
Familiarity with revenue cycle workflows, including billing, claims, and accounts receivable ... Remote-first -- work from home within our approved states * Growth: Tailored professional ...
The Position We're looking to hire a Healthcare Data and Analytics Specialist to join our team. You ... Deep experience in working with healthcare data, including medical claims, pharmacy claims ...
The Position We're looking to hire a Healthcare Data and Analytics Specialist to join our team. You ... Deep experience in working with healthcare data, including medical claims, pharmacy claims ...
Evansville, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Evansville, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Fort Wayne, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Fort Wayne, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Indianapolis, IN · On-site +1
$14/hr
... claims support. This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI ... Problem Resolution & Patient Education * Research account history to determine the root cause of ...
Indianapolis, IN · On-site +1
$14/hr
... claims support. This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI ... Problem Resolution & Patient Education * Research account history to determine the root cause of ...
Indianapolis, IN · Remote
$14/hr
... claims support. This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI ... Problem Resolution & Patient Education * Research account history to determine the root cause of ...
Indianapolis, IN · Remote
$14/hr
... claims support. This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI ... Problem Resolution & Patient Education * Research account history to determine the root cause of ...
Fishers, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Fishers, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
South Bend, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
South Bend, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Indianapolis, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Indianapolis, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Carmel, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Carmel, IN · Remote
$50 - $80/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Indianapolis, IN · On-site +1
$17.75 - $24/hr
If you enjoy solving problems, building relationships, and helping bring resolution to billing and ... An understanding of insurance and claims adjudication is preferred * Healthcare experience is ...
Indianapolis, IN · On-site +1
$17.75 - $24/hr
If you enjoy solving problems, building relationships, and helping bring resolution to billing and ... An understanding of insurance and claims adjudication is preferred * Healthcare experience is ...
Indianapolis, IN · On-site +1
$17.75 - $24/hr
If you enjoy solving problems, building relationships, and helping bring resolution to billing and ... An understanding of insurance and claims adjudication is preferred * Healthcare experience is ...
Indianapolis, IN · On-site +1
$17.75 - $24/hr
If you enjoy solving problems, building relationships, and helping bring resolution to billing and ... An understanding of insurance and claims adjudication is preferred * Healthcare experience is ...
Indianapolis, IN · Remote
$60K - $80K/yr
This will be a full-time, remote role, located within the United States. The Employee Relations ... Strong objective, analytical, and conflict-resolution abilities. * Basic understanding of ...
Indianapolis, IN · Remote
$60K - $80K/yr
This will be a full-time, remote role, located within the United States. The Employee Relations ... Strong objective, analytical, and conflict-resolution abilities. * Basic understanding of ...
Indianapolis, IN · On-site +1
$18.50 - $24.75/hr
If you enjoy solving problems and helping bring resolution to billing and insurance challenges ... Experience with claims adjudication and an understanding of how insurance works * Healthcare ...
Indianapolis, IN · On-site +1
$18.50 - $24.75/hr
If you enjoy solving problems and helping bring resolution to billing and insurance challenges ... Experience with claims adjudication and an understanding of how insurance works * Healthcare ...
Indianapolis, IN · On-site +1
$18.50 - $24.75/hr
If you enjoy solving problems and helping bring resolution to billing and insurance challenges ... Experience with claims adjudication and an understanding of how insurance works * Healthcare ...
Indianapolis, IN · On-site +1
$18.50 - $24.75/hr
If you enjoy solving problems and helping bring resolution to billing and insurance challenges ... Experience with claims adjudication and an understanding of how insurance works * Healthcare ...
Indianapolis, IN · On-site +1
... claims data, and help ensure compliance with state and federal regulations. If you enjoy ... This is a remote position with occasional travel within Indiana. Indiana residents are strongly ...
Indianapolis, IN · On-site +1
... claims data, and help ensure compliance with state and federal regulations. If you enjoy ... This is a remote position with occasional travel within Indiana. Indiana residents are strongly ...
Evansville, IN · On-site +1
$85K - $100K/yr
Probate and estate claims * Guardianships Prior experience in one or more of these areas is ... Independently manage cases from intake through resolution * Develop and execute legal strategies ...
Evansville, IN · On-site +1
$85K - $100K/yr
Probate and estate claims * Guardianships Prior experience in one or more of these areas is ... Independently manage cases from intake through resolution * Develop and execute legal strategies ...
Indianapolis, IN · On-site +1
$90K - $110K/yr
Remote or regionally based candidates may be considered, especially those located in Indiana or ... Note: Must have 3+ years of foreclosure, collections, title claims, creditors' rights, or closely ...
Quick apply
Indianapolis, IN · On-site +1
$90K - $110K/yr
Remote or regionally based candidates may be considered, especially those located in Indiana or ... Note: Must have 3+ years of foreclosure, collections, title claims, creditors' rights, or closely ...
$12.12 - $14.74
8% of jobs
$16.49 is the 25th percentile. Wages below this are outliers.
$14.74 - $17.36
25% of jobs
The median wage is $19.36 / hr.
$17.36 - $19.98
22% of jobs
$19.98 - $22.60
15% of jobs
$23.79 is the 75th percentile. Wages above this are outliers.
$22.60 - $25.22
11% of jobs
$25.22 - $27.84
5% of jobs
$27.84 - $30.46
3% of jobs
$30.46 - $33.08
3% of jobs
$33.08 - $35.70
3% of jobs
$35.70 - $38.33
3% of jobs
$38.33 - $40.95
1% of jobs
$12
$22
$40
A Remote Claims Resolution Specialist is responsible for reviewing, analyzing, and resolving insurance claims from a remote location. They work with policyholders, providers, and internal teams to investigate claim issues, ensure accuracy, and facilitate timely payments or denials. This role requires strong attention to detail, problem-solving skills, and knowledge of insurance policies and regulations. Effective communication and the ability to work independently are essential for success in this position.
As a Remote Claims Resolution Specialist, your daily tasks typically include reviewing and processing insurance claims, analyzing documentation, communicating with policyholders and adjusters, and investigating discrepancies or additional information needs. You'll spend much of your time resolving issues via phone, email, or chat, ensuring claims are handled efficiently and in compliance with company policies. Collaboration with other team members and departments is common, especially when complex or escalated cases arise. Staying organized and proactive is key to managing multiple cases and meeting deadlines in a remote work environment.
To succeed as a Remote Claims Resolution Specialist, you should have strong analytical and problem-solving abilities, knowledge of insurance policies, and relevant experience in claims processing or customer service. Familiarity with claims management software, CRM systems, and proficiency in digital communication tools are typically required, and some employers may prefer certification such as AIC (Associate in Claims). Excellent written communication, attention to detail, and the ability to manage time effectively set outstanding candidates apart. These skills are essential to ensure accurate, timely resolutions, maintain customer satisfaction, and uphold the integrity of the claims process in a remote setting.
For Remote Claims Resolution Specialist jobs in Indiana, the most frequently searched job titles are:
The top searched job categories for Remote Claims Resolution Specialist jobs in Indiana are:
Cities in Indiana with the most Remote Claims Resolution Specialist job openings:
$18 - $23.75/hr
Full-time
Posted 14 days ago
Welcome to Ovation Healthcare!
At Ovation Healthcare (formerly QHR Health), we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare's corporateheadquartersis located in Brentwood, TN. For more information, visitwww.ovationhc.com.
Summary:
The primary responsibility of this position is to follow-up with insurance payers on outstanding claims, break down obstacles to payment, and accelerate cash collections.
Duties and Responsibilities:
Responsible for follow-up and collecting on accounts in assigned inventory. Utilizes experience and follow-up strategies and tools to resolve claims and obtain payment.
Escalates unpaid claims to payer claims supervisor as appropriate when regular follow-up efforts are not successful.
Documents client's host system utilizing the 5 W's framework and related policies/procedures to ensure accurate and complete documentation and then copies account notes into Amplify's workflow tool
Assigns appropriate status codes (e.g. root cause, action, etc.) in Amplify's workflow tool so trends can be identified and addressed.
Writes first and second level appeals of all denials in effort to overturn and secure payment. Escalates payer denial and other trends to Management for further assistance.
May also work assigned underpayments as assigned by Management.
Maintains client and/or position specific daily productivity and quality expectations.
Researches and analyzes any correspondence received related to assigned accounts.
Knowledge, Skills, and Abilities:
Must adapt and demonstrate the ability to work independently from home in a fast-paced, changing and goal-oriented environment.
Direct account follow-up and/or billing experience.
Medical Terminology, ICD-10, CPT and DRG knowledge
Intermediate experience in Excel preferred.
Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.
Demonstrates understanding of the entire revenue cycle.
Must be detail oriented, organized, and possess the ability to apply critical thinking skills.
Assists with problem solving, inquiries, and customer interaction to ensure positive results.
Work Experience, Education, and Certifications:
High school diploma or equivalent; additional training in hospital insurance collections is a plus.
3-5 years of collections experience in a Hospital Business Office
Working Conditions:
Work from home and remote location with a stable internet connection, a quiet and dedicated workspace free of distractions, and access to necessary office equipment. The ability to have daily communication with team members, management, and clients through email, phone calls, video meetings and other collaborative tools. Primarily requires sitting at a desk for extended period. Proper lighting and ergonomics shole be maintained to reduce eye strain.
100% Remote
