Documentation Review Specialist

Documentation Review Specialist

Indianapolis, IN

Remodel Health is revolutionizing the way employers deliver health benefitsshifting from one-size-fits-all group plans to personalized, cost-effective solutions through Individual Coverage Health Reimbursement Arrangements (ICHRA). Our mission is to transform health benefits to resource organizations with missions that matter, helping them better care for their teams while reducing cost and complexity. By combining innovative technology with high-touch service, we empower employers to offer benefits that truly meet the needs of their people.

As an organization founded on faith-based principles, we started out serving mission-driven employers such as churches, Christian schools, and faith-based nonprofits. With growing momentum in the market, our reach has expanded to include private-sector employers and small businesses looking for more sustainable and flexible solutions.

We replace outdated models with individualized plans that simplify administration, reduce costs, and align with employee needs. With a team that values collaboration, efficiency, and results, we help customers navigate change with confidence and clarity.

Backed by leading investors and trusted by a growing number of employers, brokers, and payors nationwide, Remodel Health is leading a category-defining movement in employer-sponsored healthcare. As market demand accelerates and regulatory support grows, we are uniquely positioned to drive the next chapter of innovation in health benefitswhile staying grounded in our commitment to serve with care, purpose, and excellence.

Our team is collaborative, intentional, and prioritized. We care deeply for our customers and passionately believe there is a better way for employees to receive health benefits from their organization. Learn more about who we are here!

We are looking for a detail-oriented and organized Documentation Review Specialist to join the PeopleKeep team.

In this role, you will review medical expenses and insurance premiums submitted by participants to ensure they meet documentation and eligibility requirements. You will use internal guidelines to make accurate decisions, request additional information when needed, and help ensure submissions are processed efficiently and in compliance with applicable requirements.

Responsibilities:

• Review medical expenses and insurance premiums to ensure they meet documentation and eligibility requirements, accurately applying internal policies and guidelines while meeting established quality and productivity standards.
• Protect confidential information and comply with HIPAA privacy requirements.
• Communicate and collaborate effectively with your team.
• Adapt to changes in processes and priorities.
• Extended hours are required during the busy season.
• Assist with special projects and other duties as assigned.

Qualifications:

• Comfortable with focused, independent work and reviewing similar types of submissions throughout the day.
• Strong attention to detail, organizational, and time-management skills.
• Strong problem-solving skills and the ability to make accurate decisions using established guidelines.
• Excellent written and verbal communication skills.
• Comfortable learning and using multiple technology platforms.
• Reliable, dependable, and able to work independently.
• Comfortable asking questions and seeking guidance when needed.
• Adaptable and comfortable in a fast-paced environment.

Preferred Qualifications:

• Experience with HRAs, health benefits, insurance, healthcare, or documentation review.
• Experience handling confidential or sensitive information.

Education:

• Bachelor's Degree or combined equivalent of education and experience.
• Health License preferred

Benefits:

• Full health benefits offering, including life, long-term disability, dental, and vision
• Generous PTO
• 401(k) match
• Sabbatical PTO available after 5 years of employment

This is an in-office position in downtown Indianapolis four days/week, with work from home Fridays.