- Owens & Minor (Indianapolis, IN)
- …**POSITION SUMMARY:** This representative will be required to request Medical documentation and assure received documentation meets insurance payer guidelines. ... including: + Prepayment audits/development letters + Post payment requests for documentation + Overpayment refund requests + Medical necessity documentation … more
- TEKsystems (Shelbyville, IN)
- …organizational, time management, and planning skills. -Knowledge of HIPAA, Medicaid, Medicare , Insurance and FDCPA is a plus * Superior mathematical skills ... that include advanced accounting skills (ie, Invoicing and processing of statements). * Superior proficiency in Microsoft Office products (Word, Excel, PowerPoint, etc.) * Ability to adjust to changing agency priorities. * Ability to recognize the need for,… more
- Prime Therapeutics (Indianapolis, IN)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** The Client Audit Specialist Sr is ... regulatory, client, and/or functional audit expectations. The Client Audit Specialist Sr provides consultation and strategic advice regarding audit management… more
- Baylor Scott & White Health (Indianapolis, IN)
- **JOB SUMMARY** The Internal Sales Specialist obtains new enrollments and facilitates community outreach in the assigned service area. **ESSENTIAL FUNCTIONS OF THE ... ROLE** Coordinates and conducts sales activities for Individual and Medicare Advantage plans to enroll prospective members into the health plan to increase… more
- Prime Therapeutics (Indianapolis, IN)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** As a member of the Client Audit ... Management (CAM) team, the Client Audit Specialist , Sr is accountable for managing regulatory and/or client-initiated audits. This role maintains a thorough… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Provider Relations Specialist to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier...obtaining provider demographic information required by the Plan, ensuring documentation is accurately completed for entry onto the Plan's… more
- CenterWell (Indianapolis, IN)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... by displaying a professional and approachable demeanor. . Completes all medical record documentation in a timely manner working with a quality- based coder to… more
- Evolent (Indianapolis, IN)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Humana (Indianapolis, IN)
- …Owner 2 who is interested in becoming Salesforce Marketing Cloud Email Specialist certified to join the Marketing Regulatory and Operational Communications (MROC) ... Ensure clear and effective communication with existing or concurrent projects **SFMC Email Specialist Certification must be gained within 6 months of hire date.** To… more
- HealthEdge Software Inc (Indianapolis, IN)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
- CommonSpirit Health at Home (Indianapolis, IN)
- …programs, Telehealth, Remote Patient Monitoring, Medication Management, Population Health Specialist , New RN Graduate Preceptor Program, etc + Instructs clinical ... Acts as a super user for technology for field staff resources and documentation . + Performs patient visits, patient supervisory visits, shared visits with staff, and… more