Clinical Claims Specialist chez Indiana Donor Network

Join Our Mission to Save and Enhance Lives 

Are you looking for a meaningful career where your skills and experience can make a life-saving difference? Do you want to contribute to a mission that leaves an incredible legacy? If so, Indiana Donor Network invites you to explore joining our team.

Why Indiana Donor Network?

Indiana Donor Network is a nationally recognized healthcare organization, serving as the crucial link between donors and patients awaiting life-saving organ transplants, healing tissue, and corneas that restore sight. As the state’s federally designated organ recovery organization and an accredited tissue bank, we are dedicated to making a profound impact on countless lives. We are currently seeking a Clinical Claims Specialist to help fulfill our mission.

About the Role

The Clinical Claims Specialist is responsible for providing administrative and transactional support for medical claims functions. This role maintains confidential information with discretion, including donor and corporate financial information. Responsibilities include:

• Reviews and prepares donor hospital claims in collaboration with a third-party claims review provider.
• Reviews external surgeon and physician fee payment requests for validity and proper payment.
• Communicates with hospital partners on the status of outstanding claims. 
• Prepares weekly claims payables for hand-off to the AP Specialist for processing. 
• Allocates various clinical expenses via ExamWorks reconciliation and journal entry process.
• Allocates in-house clinical costs via detailed review of donor supply reports and allocation journal entries. 
• Assists in the preparation of month-end accruals to ensure proper liability balances are reflected.
• Cross-trains with Accounts Payable Specialist to collaborate and provide assistance when needed. 
• Follows company policy and current Medicare regulations during daily record keeping, helps to complete questions as assigned by the Medicare Intermediary and external auditors, and supports the completion of the annual Medicare Cost Report. 

  Who We’re Looking For

This position requires a minimum of a high school diploma and two or more years of experience in an accounts or medical claims payable role is required. A working knowledge of word processing, database accounting software and electronic spreadsheets is also required. Knowledge and understanding of General Accepted Accounting Principles (GAAP) and requirements from the Internal Revenue Service (IRS) is required. Required knowledge, skills and abilities include:

• Knowledge and application of data processing and terminology as it applies to maintaining financial control and accounting records
• Knowledge of techniques commonly used in locating errors in accounting records
• Ability to complete assigned projects on time and within budget
• Ability to present accounting data in a clear and understandable manner to both technical and non-technical users
• Ability to work independently and resolve accounting and financial problems
• Ability to communicate effectively with others
• Ability to work within teams and committees
• Skill in accurate and fast data entry
• Skill in planning and organizing
• Skill in the production of fast and accurate reports
• Knowledge of techniques commonly used in locating errors in accounting records.

Benefits & Perks

• At Indiana Donor Network, we believe in taking care of our team members. We offer:
• 100% employer paid health, dental, and vision insurance for our employees and dependents
• Annual health savings account contributions
• Paid pet insurance
• Annual bonuses for performance and retention
• Generous paid time off and holiday pay
• Professional development and growth opportunities
• A mission-driven, supportive work culture

Join Our Life-Saving Mission

If you are looking for a rewarding career where your work directly impacts lives, apply today and become part of our compassionate and dedicated team at Indiana Donor Network.

Indiana Donor Network is an equal opportunity employer. Employment is contingent upon successfully passing drug screening and background check, including verification with the Social Security Administration, criminal records review, DMV check, and the Office of Inspector General.