Columbus, Georgia, United States · Hybrid
Anticipated End Date: 2026-10-19 Position Title: Utilization Managment Representative I-2 Job Description: Utilization Management Representative I Location: Virtual: Must live within a 30-40 mile proximity to our office …
Skills: Customer service, Call-center operations, Utilization management, Precertification, Prior authorization
Franciscan Alliance, Inc.Indianapolis, Indiana, United States · On-site
Franciscan Health Indianapolis Campus 8111 S Emerson Ave Indianapolis, Indiana 46237 The Revenue Cycle Patient Access Representative II (PAR) performs tasks related to Pre-Registration, Registration, Patient Financial Co…
Skills: Patient Registration, Pre-registration, Financial Counseling, Collections, Data Entry
Indianapolis, Indiana, United States · On-site
Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improv…
Skills: Phlebotomy, Venipuncture, Capillary techniques, Specimen collection, Data entry
Indianapolis, Indiana, United States · On-site
Service Center Indianapolis - Lawrence JOB SUMMARY Caliber Collision has an immediate job opening for an Office Administrator to perform all-purpose duties, which may include, but not limited to assisting with providing …
Skills: Office administration, Payroll administration, Accounts payable, Accounts receivable, Cash handling
Indianapolis, Indiana, United States · On-site
Starting Hourly Rate / Salario por Hora Inicial: $15.75 USD per hour ALL ABOUT TARGET Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and cu…
Skills: Employment law knowledge, Microsoft Office Suite, Workforce management, Scheduling software, Customer service
Indianapolis, Indiana, United States · On-site
$49k–$66k/yr
Become a part of our caring community The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination…
Skills: Scheduling, Care coordination, Office management, Infection control, Case management
Indianapolis, Indiana, United States · On-site
Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive comp…
Skills: Administrative support, Licensing, Data analysis, Regulatory compliance, Customer service
Franciscan Alliance, Inc.Indianapolis, Indiana, United States · On-site
Franciscan Health Indianapolis Campus 8111 S Emerson Ave Indianapolis, Indiana 46237 The Patient Access Rep I performs tasks related to preregistration, registration, patient financial counseling, and collections of pati…
Skills: Patient registration, Preregistration, Financial counseling, Collections, Data entry
Indianapolis, Indiana, United States · Hybrid
Division:Eskenazi Health Sub-Division: Hospital Req ID: 26768 Schedule: Full Time; PRN/Per Diem Shift: Days Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Ph…
Skills: Call center operations, Patient scheduling, Customer service, Medical terminology, Health information management
Indianapolis, Indiana, United States · On-site
$38k–$46k/yr
Become a part of our caring community Why this role exists: Our Front Office Healthcare Support team are there to deliver a safe, accurate, and welcoming patient experience from pre-arrival through checkout. The Front Of…
Skills: Patient registration, Insurance verification, Data entry, Customer service, Financial collections
Indianapolis, Indiana, United States · Hybrid
$22/hr–$25/hr
Overview Knowledge Services is currently seeking a Technical Writer for a contract through the end of June 2027 (potential for extension) with the State of Indiana Public Retirement System INPRS. Work Location: 100% onsi…
Skills: Technical writing, Document control, PolicyTech, Microsoft Office Suite, Adobe Acrobat Pro
Indianapolis, Indiana, United States · On-site
Division:Eskenazi Health Sub-Division: Hospital Req ID: 26758 Schedule: Full Time Shift: Days Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provi…
Skills: Medical billing, Denial management, Accounts receivable, Data entry, Claim editing
Indianapolis, Indiana, United States · On-site
$65k–$75k/yr
Our client, Intelligent Living Solutions, is growing and adding a Staff Accountant! Bring your accounting background to a quickly growing small business while being around the latest in home and business automation techn…
Skills: General ledger accounting, Month-end close, Account reconciliations, Accounts payable, Accounts receivable
Columbus, Indiana, United States · Hybrid
If you are wondering what makes Trimedx different, it's that all of our associates share in a common purpose of serving clients, patients, communities, and each other with equal measures of care and performance. Everyone…
Skills: Customer service, Data entry, Active listening, Medical equipment terminology, Microsoft Outlook
Indianapolis, Indiana, United States · On-site
Job DetailsLevel: EntryJob Location: Center for Women and Children - Indianapolis, IN 46201Position Type: Full-time (Hourly)Education Level: High School Diploma or GEDTravel Percentage: NoneJob Shift: DayJob Category: No…
Skills: Early childhood education, Trauma-informed care, Classroom management, Child development, Mentoring
Indianapolis, Indiana, United States · On-site
$20/hr
Job DetailsLevel: EntryJob Location: Center for Women and Children - Indianapolis, IN 46201Salary Range: $20.00 HourlyJob Category: Nonprofit - Social ServicesPosition Description Wheeler Mission Ministries is a privatel…
Skills: Volunteer Management, Recruitment, Communication, Project Management, Relationship Building
Chicago, Illinois, United States · Hybrid
$64k–$97k/yr
To get the best candidate experience, please consider applying for a maximum of 3 roles within 12 months to ensure you are not duplicating efforts. Job Category Corporate Functions Job Details About Salesforce Salesforce…
Skills: Executive travel management, Event planning, Meeting coordination, Project coordination, Google Suite
Indianapolis, Indiana, United States · On-site
$40k–$73k/yr
At Roche you can show up as yourself, embraced for the unique qualities you bring. Our culture encourages personal expression, open dialogue, and genuine connections, where you are valued, accepted and respected for who …
Skills: Customer service, Order fulfillment, Logistics, SAP, Salesforce
Johnson BrothersIndianapolis, Indiana, United States · On-site
Looking for a rewarding career? Johnson Brothers is a leading family-owned distributor of wine, spirits, and beer, delivering exceptional service since 1953. We proudly represent the world’s top beverage brands and are c…
Skills: Customer service, Data entry, Communication skills, Telephone etiquette, Problem resolution
Indianapolis, Indiana, United States · On-site
Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive comp…
Skills: Program management, Policy development, Stakeholder management, Budgeting, Data analysis
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
The Utilization Management Representative coordinates cases for precertification and prior authorization review while managing incoming calls and post-service claims. They determine benefit eligibility, conduct clinical screenings, and maintain positive customer relations by responding to inquiries from clients and providers.
Candidates must have a high school diploma or GED and at least one year of customer service or call-center experience. Proficiency in medical terminology and strong communication and analytical skills are preferred.
Location: Virtual: Must live within a 30-40 mile proximity to our office in Indianapolis, IN OR Midland, GA.
This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review.
Managing incoming calls or incoming post services claims work.
Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
Refers cases requiring clinical review to a Nurse reviewer.
Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.
Responds to telephone and written inquiries from clients, providers and in-house departments.
Conducts clinical screening process.
Authorizes initial set of sessions to provider.
Checks benefits for facility based treatment.
Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment.
Strong verbal and written communication skills, both with virtual and in-person interactions.
Attentive to details, critical thinker, and a problem-solver.
Demonstrates empathy and persistence to resolve caller issues completely.
Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
Performs other duties as assigned.
HS diploma or GED.
Minimum of 1 year of customer service or call-center experience; or any combination of education and experience which would provide an equivalent background
Medical terminology training and experience in medical or insurance field preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
There are currently 1,913 open administrative positions in Indianapolis, IN listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Indiana University Health, Indiana State Park Inns, Ascension, Community Health Network, Health & Hospital Corporation of Marion County, among others. Browse the listings above to see every active employer.
Yes — 304 of the 1913 open administrative positions offer remote or hybrid work (87 remote, 217 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
