Reimbursement Specialist - Healthcare jobs in Indianapolis, IN

Reimbursement Specialist - Healthcare determines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Being a Reimbursement Specialist - Healthcare ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Additionally, Reimbursement Specialist - Healthcare may require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. The Reimbursement Specialist - Healthcare gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Reimbursement Specialist - Healthcare typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Reimbursement Specialist
  • ClaimAid
  • Indianapolis, IN FULL_TIME
  • Our Reimbursement Specialists are responsible for researching and filing accurate Medicaid claims. Claims and billing experience valued but training will be provided, when needed. This is a full-time position and benefits include:

    • Health insurance
    • Health Savings Account w/company contribution
    • Dental, Vision and Life insurance
    • Nine paid holidays annually
    • Paid vacation and sick time off
    • Paid volunteer time off
    • 401k with company match
    • And more

    PRIMARY RESPONSIBILITIES:

    • Research Medicaid claims and achieve resolution. This may include researching the Medicaid system and/or our Client’s system.
    • Research Medicaid claims until payment has been received in full or until account has to be returned.
    • Research and record progress in ClaimAid’s system (CTS) and our Client’s system.
    • Request necessary documentation from outside sources to properly adjudicate claim.
    • Accurate filing of all necessary documentation.
    • Respond to client’s inquiries pertaining to claims.
    • Maintain confidentiality of patient health information in compliance with HIPAA regulations.

    QUALIFICATIONS:

    • Valued - Knowledge of ICD-10 and CPT coding. Multi-line claims experience a plus, including knowledge of UB04 and CMS1500.
    • Valued - Knowledge of Indiana Medicaid Portal, including all Managed Care payer portals for correcting claims and checking eligibility.
    • Valued - Past experience in office administration, supply chain administration, etc.; any experience that requires strong organizational and time management skills
    • Required - Strong investigative, analytical and judgment skills.
    • Required - Excellent spelling and grammar; phone skills; basic math skills; ability to multi-task; must carefully proof own work.
    • Required - Effective communication skills to convey information accurately, listen effectively, and ask questions when clarification is needed.
    • Required - Must be able to work independently and as part of a team.
    • Required - Professional demeanor both on the phone and in person.
    • Required - High school diploma required.

    PHYSICAL REQUIREMENTS:

    • Hearing: Adequate to perform job duties in person and over the telephone.
    • Speaking: Must be able to communicate clearly in person and over the telephone.
    • Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
    • Requires frequent bending, standing, walking (sometimes at a fast pace and for long periods of time), squatting and sitting.

    The above is intended to describe the general content and requirements for the performance of this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.

    Job Type: Full-time

  • 8 Days Ago

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VP Clinical Reimbursement
  • Brickyard Healthcare
  • Indianapolis, IN FULL_TIME
  • The Vice President of Clinical Reimbursement manages reimbursement department with responsibility for the accuracy and completeness of all regulatory filings required for reimbursement under federal a...
  • 1 Month Ago

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Vice President of Reimbursement and Operational Finance, Healthcare
  • CommuniCare Family of Companies
  • Indianapolis, IN FULL_TIME
  • Vice President, Reimbursement and Operational Finance CommuniCare Health Services is a fast-growing provider of long-term care with over 130 facilities located in 7 states. Due to current growth, we a...
  • 8 Days Ago

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Healthcare Benefits Customer Success Specialist
  • VASA Fitness
  • Linden, IN FULL_TIME
  • POSITION DESCRIPTION POSITION TITLE: Member Experience Specialist (MES)REPORTS TO: Member Experience LeadDIRECT REPORTS: N/AFLSA STATUS: Non-Exempt, HourlyCOMPENSATION: Base rate is $11.60 per hour Co...
  • Just Posted

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Content Marketing Specialist (Healthcare SaaS)
  • Authenticx
  • Indianapolis, IN FULL_TIME
  • Company DescriptionWho is Authenticx?Authenticx is on a mission to help humans understand humans. Our platform is the new standard for humanizing customer interaction data at scale. We do this by chan...
  • 15 Days Ago

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Talent Acquisition Specialist Healthcare - Talent Acquisition Specialist
  • Central Division
  • Fishers, IN FULL_TIME
  • Position Summary The Talent Acquisition Specialist is responsible for sourcing, screening, and presenting qualified candidates to hiring managers to promote a positive candidate experience and support...
  • Just Posted

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0 Reimbursement Specialist - Healthcare jobs found in Indianapolis, IN area

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Process Mechanical Subject Matter Expert (SME)
  • Shiel Sexton Company, Inc.
  • Indianapolis, IN
  • Anova Technical Services is a growing professional service organization headquartered in Indianapolis, Indiana with proj...
  • 3/28/2024 12:00:00 AM

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Human Resources Business Partner
  • Milhaus
  • Indianapolis, IN
  • Job Type Full-time Description Milhaus is an award-winning, mixed-use development, construction, and property management...
  • 3/28/2024 12:00:00 AM

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Vice President, Middle Market Commercial Portfolio Manager
  • BMO Financial Group
  • Indianapolis, IN
  • Facilitates growth initiatives for the Bank through significant business development and excellent management of key cli...
  • 3/28/2024 12:00:00 AM

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Senior Mechanical Engineer - Rotating Equipment - US Hybrid
  • Black & Veatch
  • Indianapolis, IN
  • **Senior Mechanical Engineer - Rotating Equipment - US Hybrid** Date: Mar 27, 2024 Location: US Company: Black & Veatch ...
  • 3/28/2024 12:00:00 AM

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Environmental Regulatory Specialist
  • Corteva Agriscience
  • Indianapolis, IN
  • Description Corteva Agriscience has an exciting opportunity for a Environmental Regulatory Specialist based in Indianapo...
  • 3/28/2024 12:00:00 AM

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Specialist-Registration - Administration - Medical Genetics - DAYS (M-F)
  • Indiana University Health
  • Indianapolis, IN
  • Job Description Hours: M-F 8-430 ***slightly flexible start/stop time Facilitates patient flow from point of entry to de...
  • 3/28/2024 12:00:00 AM

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Float Medical Assistant - CenterWell - Indy Market
  • Humana
  • Indianapolis, IN
  • Become a part of our caring community and help us put health first CenterWell is a Subsidiary of Humana, seeking a Medic...
  • 3/27/2024 12:00:00 AM

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Regional Vice- President of Network Payor and Relations- Remote Role for Indiana
  • Nova Medical Centers
  • Indianapolis, IN
  • Overview: Regional Vice-President of Network & Payor Relations- Indiana Remote Role for Indiana NOVA MEDICAL CENTERS, on...
  • 3/25/2024 12:00:00 AM

Indianapolis is in the East North Central region of the Midwestern United States, in central Indiana. According to the U.S. Census Bureau, the Indianapolis (balance) encompasses a total area of 368.2 square miles (954 km2), of which 361.5 square miles (936 km2) is land and 6.7 square miles (17 km2) is water. The consolidated city boundaries are coterminous with Marion County, with the exception of the autonomous municipalities of Beech Grove, Lawrence, Southport, and Speedway. Indianapolis is the 16th largest city by land area in the U.S. Indianapolis is within the Tipton Till Plain, a flat to...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,082 to $53,564
Indianapolis, Indiana area prices
were up 1.3% from a year ago

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MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
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