Hybrid Claims Auditor for Medicare/Medicaid Payments
American Health Partners
American Health Plans is seeking a claims processing auditor to ensure accurate Medicare/Medicaid payments and denials, with strong CMS rule knowledge. The role involves audits, regulatory compliance, and collaboration with a delegated processor, with a hybrid schedule including onsite days in Franklin, TN. Qualified candidates will have 2+ years in complex claims processing or auditing within the health insurance sector and familiarity with CPT4, ICD10, HCPCS coding. #J-18808-Ljbffr American Health Partners
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Hybrid Claims Auditor for Medicare/Medicaid Payments in Indianapolis, IN vacancy
$71.1k - $97.8k
...Inpatient Medical Coding Auditor extracts clinical... ...review inpatient hospital claims for proper... ...of provider contract payments in our payer systems,... ...will provide Home or Hybrid Home/Office associates... ...life for people with Medicare and Medicaid, families, individuals...ClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Indianapolis, IN4 days ago$59.3k - $80.9k
...experienced medical coding auditor to handle provider... ...Behavioral Health claims 3+ years' experience... ...Requirements To ensure Home or Hybrid Home/Office... ...provided a bi-weekly payment for their internet... ...life for people with Medicare and Medicaid, families, individuals...ClaimsBi-weekly payFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome officeFlexible hours$100k - $123.9k
...Gainwell Technologies in Indianapolis, IN seeks a Claims Manager to lead Medicaid claims operations, ensuring service levels, regulatory compliance... ...processing, adjudication, and client relationships. This hybrid role oversees teams, emphasizes performance metrics, and...ClaimsGainwell Technologies
Indianapolis, IN1 day ago- ...nursing home operators, these Medicare Advantage plans manage... ...pay audits to ensure accurate claims payments and denials Ensure regulatory... ...auditing claims for Medicare and Medicaid plans Strong knowledge of... ...claims processing systems Hybrid role that may require 2-3 days...ClaimsFull timeTemporary workWork at officeLocal area2 days per week3 days per week
- Renaissance Benefits is seeking an experienced Life and Disability Claims Examiner to join our growing team in Indianapolis. This... ...evaluating and processing group insurance claims for payment or denial, with a hybrid schedule for local candidates. Responsibilities include...ClaimsLocal area
- Renaissance Benefits in Indianapolis seeks an experienced Life & DI Claims Examiner I to evaluate and process group insurance claims for payment or denial according to policy terms. The role offers a hybrid schedule for local candidates. You will review claims, collect...ClaimsLocal area
$86.56k - $129.84k
...Safety DRG Clinical Validation Auditor Location: This role enables... ...note that per our policy on hybrid/virtual work, candidates not within... ...Related Group (DRG) paid claims. How you'll make a difference... ..., medical claims billing and payment systems, provider billing guidelines...ClaimsFull timeWork experience placementWork at officeLocal area$100k - $123.9k
...(in days) to receive an alert: Claims Manager - Indianapolis, IN - Hybrid Date: Oct 27, 2026 Location: Indianapolis... ...operations supporting Indiana Medicaid programs while ensuring service... ...of Medicaid claims processing, payment methodologies, and healthcare claims...ClaimsFull timeFlexible hoursGainwell Technologies LLC
Indianapolis, IN1 day ago- ...Specialty Insurance Holdings, Inc. is seeking a Claims Specialist to assist with administration,... ...of bond forfeiture claims in a hybrid Indianapolis environment. You will communicate... ...departments, and processing routine payments, with room to grow into #J-18808-Ljbffr...Claims
- ...Mutual Insurance in Indianapolis is seeking a Commercial Insurance Claims Representative to review and process simple to moderately... ...education and training paid by Liberty Mutual. The position supports a hybrid work setting with occasional in-office presence and a focus on...ClaimsWork at office
- ...Medical Record Audit Specialist with strong Behavioral Health coding experience to support a state Medicaid program engagement. You will audit medical records and claims for coding accuracy and compliance, and prepare audit work-papers aligned with CMS, AHIMA, and Indiana...ClaimsRemote job
- Liberty Mutual Insurance is seeking a Commercial Insurance Claims Representative in a hybrid Indianapolis role. You will review and process commercial claims within authority, ensuring policy and regulatory compliance while delivering quality service. The position offers...ClaimsWork at officeRemote work
- CommuniCare Health Services in Indianapolis, IN is seeking a Medicaid Biller for our Central Billing Office. The role handles... ...Traditional Medicaid and Pathways billing, follows up on unpaid claims, posts payments, and ensures accurate payer submissions. The ideal...ClaimsWork at office
- ...stakeholders to collect outstanding balances and resolve rejected claims. You’ll support billing inquiries and payment processing while upholding exceptional customer service. Role begins onsite with potential to move hybrid or remote based on performance after training. #J-1880...ClaimsRemote work
$100k
...loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine... ...results to the home office Travel to multiple audit locations Hybrid position - work from home and complete remote audits 2-3 days per...Weekly payRemote workWork from homeHome office2 days per week3 days per week- ...Description This is a remote position. RN Clinical Auditor - Behavioral Health Location: Fully... ...compliance issues within psychiatric/BH claims Maintain detailed workpapers documenting... ...as needed Stay current on Indiana Medicaid behavioral health policy and regulatory updates...ClaimsContract workRemote work
- ...and maintain $1.21 billion in surplus. Amerisure is hiring for a Claims Adjuster Associate to help support the claims department. This... ..., and other stakeholders regarding claim status, receipt of payment or bills, and other claim-related questions. Obtain and verify...ClaimsFor contractorsWork at officeLocal areaFlexible hours
- ...ADMINISTRRATIVE SALARIES Full Time Hybrid 6 days ago Requisition ID:... ...for all insurance claims preparation, filing, data entry... ...record request, processing payments, AR aging, overseeing collections... ...experience Knowledge of: Medicare, Medicaid and Commercial Insurance...ClaimsFull timeWork at officeLocal areaMonday to Friday
- ...billing. Below are additional key functions and skills for this opportunity: Submitting claims to Medicare, Medicaid, and private insurance companies to secure payment Works on insurance portals to key and correct claims Research and investigate billing policies...ClaimsFull timeWork at office
Rehab Medical
Indianapolis, IN2 days ago - ...Business Change Director - Carelon Payment Integrity Location: This role requires associates... .... Please note that per our policy on hybrid/virtual work, candidates not within a... ...management experience desired. Experience with claims processing systems, such as GBD Facets...ClaimsWork at officeLocal areaDay shift3 days per week
Elevance Health (Anthem)
Indianapolis, IN1 day ago $110.7k - $184.5k
...delivery across multiple state Medicaid program integrity engagements, including... ...assigned project managers, auditors, analysts, program integrity... ...in Medicaid provider oversight, claims auditing, prepayment and postpayment review, payment integrity, fraud and abuse detection...ClaimsContract workFor contractorsLocal areaDeloitte
Indianapolis, IN1 day ago- ...We are seeking an experienced, highly motivated insurance professional to join our claims team. The Claim Auditor is responsible for auditing internal and external claim files for excess reporting compliance, reserving adequacy, quality assurance, adequate resolution...ClaimsFull timeWork at office
DMC Insurance, Inc.
Indianapolis, IN13 hours ago - ...Medicaid Biller CommuniCare Health Services is currently recruiting a Medicaid Biller... ...Medicaid and Pathways billing Ensure all claims have been submitted and exported... ...standard billing cycle time frame. Post all payments received against the appropriate claim....ClaimsFull timeContract workWork at officeFlexible hours
- Guardian Pharmacy in Indianapolis, IN, is seeking a billing/collections role focused on processing customer bills and insurance claims. You will handle daily and month-end billing tasks, answer questions, resolve issues, and help collect balances, working with patients...Claims
$131.23k
...Hybrid Psychologist Indianapolis, Indiana On-Site Medical Disability Examinations... ...objective medical opinions related to claimed mental health conditions. Examinations... ...Experience supporting Commercial, Medicaid, and Medicare lines of business. Familiarity with...ClaimsFor contractorsFor subcontractorRemote workWorldwideHome officeMonday to FridayWeekday workLoyal Source
Indianapolis, IN1 day ago- A healthcare organization is seeking a Certified Coding Auditor in Indianapolis to ensure coding precision and maintain documentation standards. The successful candidate will review coding accuracy, apply updates, and draft audit findings. Key requirements include a High...Claims
- ...Representative responsible for insurance claims preparation, filing, data entry of surgical... ...AR aging. You will work full-time in a hybrid schedule, coordinating with front desk and... ...to ensure accurate billing, timely payments, and responsive customer service. The role...ClaimsFull time
$80 per hour
...Compensation Details * LMFT, LCSW, LPC, or LCPC: $80 per hourly session * Guaranteed payment every two weeks via direct deposit * Payment protection for no-shows, late cancellations, & denied claims Why Join Rula? Our dedicated therapist community is made up of thousands of...ClaimsHourly payFor contractorsPrivate practiceWork at officeRemote workRula
Carmel, IN9 hours ago- Liberty Mutual Insurance located in Indianapolis, IN, is seeking a Claims Specialist to manage a caseload of routine to moderately complex... ...settlements with guidance to enhance customer service. This hybrid role requires in-office presence within 50 miles of select offices...ClaimsWork at office
- ...firm, is seeking a Customer Service Agent to support the Indiana Medicaid team in a fully remote capacity. You will deliver advanced... ...members and providers, resolving inquiries about pharmacy coverage, claims, and medication pricing with accuracy and care. Ideal...ClaimsRemote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hybrid Claims Auditor for Medicare/Medicaid Payments. Be the first to apply!
Related searches
- sales auditor Indianapolis, IN
- remote nurse auditor Indianapolis, IN
- inventory auditor Indianapolis, IN
- lease auditor Indianapolis, IN
- energy auditor Indianapolis, IN
- coding auditor Indianapolis, IN
- medical records auditor Indianapolis, IN
- security auditor Indianapolis, IN
- safety auditor Indianapolis, IN
- medical claims auditor Indianapolis, IN