HMO Claims Administrative Support Specialist
CommunityCare HMO Inc.
CommunityCare HMO Inc. in Tulsa, OK is seeking an administrative assistant to provide clerical support ensuring efficient department operations. The role focuses on general office duties and accurate data entry, enabling smooth daily workflows. The position requires strong communication skills and proficiency with Microsoft Office applications, along with the ability to develop and maintain department files and logs, and to prepare mailings and correspondence as needed. #J-18808-Ljbffr CommunityCare HMO Inc.
- ...Administrative Support To provide administrative and clerical support to ensure the efficient operation of the department. Key Responsibilities General clerical duties including copying, scanning and faxing. Develops and maintains files and logs as related...ClaimsWork at office
- CommunityCare HMO Inc. is seeking a Customer Service Representative in Tulsa, OK to be the first point of contact for membership questions... ...will handle inquiries about benefits, eligibility, PCPs, and claims, providing professional resolutions and ensuring high customer...ClaimsFlexible hoursWeekend workAfternoon shift
- CommunityCare HMO Inc. in Tulsa, OK is seeking a Recalculation Examiner to research and reprocess claims previously adjudicated. The role requires evaluating provider submissions, processing corrections, and ensuring accurate pay/deny/adjust decisions with a focus on accuracy...Claims
- The CommunityCare team in Tulsa, OK is seeking a dedicated Broker Support specialist to assist brokers and agents by email and phone, handling billing, eligibility, claims, and benefit verification. You will work closely with cross-functional teams to provide accurate,...Claims
- Claims HMO - Recalculation Examiner 140-1036 Tulsa, OK, USA Job Description Posted Thursday, August 20, 2026 at 6:00 AM JOB SUMMARY: The Recalculation Examiner is responsible for researching and reprocessing claims that were previously adjudicated and need to be reconsidered...ClaimsWork experience placement
- Job Summary The Cost Containment Specialist is responsible for ensuring CommunityCare receives... ...appropriate reimbursement of payment on claims. The Specialists will take actions such as... ..., sex, sexual orientation or national origin #J-18808-Ljbffr CommunityCare HMO Inc.ClaimsWork experience placement
$31.34 - $34.11 per hour
...Sr. Claims Support Specialist This position will assist claims adjusters with administrator tasks associated with occupational injury claims. It will administer the occupational clinic offerings, handle fully insured claims, and provide other administrative support...Claims- CommunityCare is seeking a Cost Containment Specialist in Tulsa, OK to ensure proper reimbursement of claim payments. The role involves identifying overpayments, recovering refunds, handling third party liability, coordinating benefits, and reporting on reinsurance. You...Claims
- ...School Leader, responsible for providing support to the School Leader for the day to day... ...childcare subsidy monies, EBT machine, monthly claim reimbursement completion, retro payments... ...or GED required 1 year of clerical or administrative experience Knowledge/Skills/Abilities...ClaimsFor contractorsLocal areaFlexible hours
- ...benefited, pivotal role combines advanced administrative leadership with rigorous compliance and... ...adherence. Additionally, this role supports regional multi-site operations as the program... ...partner to ensure timely and accurate claim resolution Manage the credentialing and...ClaimsFull timeContract workWork at office
- ...A claims adjusting firm is seeking Independent Insurance Claims Adjusters to join their team in Tulsa, Oklahoma. This role provides a chance to help individuals and businesses recover from disasters while enjoying flexibility and competitive compensation. Comprehensive...ClaimsFlexible hours
$18 - $20 per hour
...Administrative Assistant II - FacilitiesSalary Range $18.00 - $20.00 Hourly Position Type Full... ...operational activities.Provides administrative support for Operations and Facilities functions... ...and coordination of insurance claims, including gathering and submitting documentation...ClaimsHourly payFull timeSeasonal workWork at office- ...CommunityCare HMO, Inc. seeks a Claims Examiner to review claims prior to adjudication, using knowledge and decision-making to determine actions to pay, deny or adjust. The role requires accuracy, efficiency, and adherence to processing standards. Responsibilities include...Claims
$16.5 - $18.5 per hour
...The Administrative Specialist is the glue that holds the office together! If you’re the type of person who shines in an administrative support role for a dynamic team, we have a great opportunity for you! Our Lamar office in Tulsa, OK is now hiring a new team member to...Hourly payTemporary workWork at officeLocal areaImmediate startMonday to FridayNight shift- Large Business and International Services What is Large Business and International Services? A description of the business units can be found at: Positions are to be filled in following area: ~ LBI - Office of Program and Business Solutions - 2 Vacancies...Work at office
- ...flexibility of a hybrid schedule, a full benefits package, and the support needed to successfully manage cases. Responsibilities Manage... ...injury, and other personal injury matters Evaluate claims, liability, damages, medical records, insurance coverage, and potential...Claims
- Relation Insurance Services seeks a Claims Specialist to manage COE-related healthcare claims with precision. You will investigate discrepancies, handle member inquiries, and collaborate with COE and clinical teams to ensure accurate adjudication and timely payments. The...ClaimsWork at office
- ...representation and exceptional results. We pride ourselves on a supportive work environment where mentorship and professional growth are... ...the evaluation, investigation, & management of personal injury claims up to litigation; Work closely with senior attorneys and paralegals...ClaimsImmediate start
$19 - $21 per hour
...Medical Collections Specialist – Surgical Clinic | Tulsa, OK Pay: $19-$21/hour Schedule: Monday–Friday | 8:00 AM – 5:00 PM Job Type: Full... ...Responsibilities Follow up on outstanding patient balances and insurance claims Contact patients regarding overdue accounts and establish...ClaimsFull timeWork at officeMonday to Friday- A claims adjusting firm is seeking Independent Insurance Claims Adjusters to join their team in Tulsa, Oklahoma. This role provides a chance to help individuals and businesses recover from disasters while enjoying flexibility and competitive compensation. Comprehensive...ClaimsFlexible hours
- ...issues, and providing interpretation services. Qualifications include a high school diploma and at least one year of customer service experience. The position requires flexibility for variable hours, including weekends and evenings. #J-18808-Ljbffr CommunityCare HMO Inc.Flexible hoursAfternoon shift
- JOB SUMMARY:The Application Support Lead is responsible for strengthening Service Delivery... ...with health plan systems such as core administration platforms (Amisys, QNXT, or equivalent), provider/member/employer portals, or claims-adjacent systems strongly preferred.Experience...Claims
- A staffing agency is seeking Claims Examiners in Tulsa, OK. The role involves processing insurance claims with a strong focus on attendance and performance during a 16-week training program. Candidates are required to have a High School Diploma or GED and demonstrate skills...ClaimsFull timeFlexible hours
$17 per hour
Temporary Contract Position This position may be located in Oklahoma City, Tulsa, or Sallisaw, Oklahoma. This is a temporary contract position filled by VIA GALT FOUNDATION. Salary $17.00 an hour. There are NO STATE BENEFITS for this position. GALT may offer...Temporary workWork at officeRemote work- Job Summary Provide skilled administrative support to assigned management and professionals. Monitors office process and procedures and works... ...efficiencies. Provide back-up support for front desk specialists, as needed. Other responsibilities encompass: 1) maintain...Work at officeImmediate startDay shiftAfternoon shift
- JoCo in Tulsa, OK seeks a Trust Assistant to provide essential administrative and clerical support while liaising with clients and prospects to keep trust operations running smoothly. You will handle trust transactions, maintain documentation, open and monitor accounts,...
- CommunityCare HMO Inc. is seeking a Broker Support Marketing Liaison to assist brokers and agents via email and phone. The role handles billing/invoice inquiries, eligibility checks, claims assistance, and benefit verification while upholding the company culture and reputation...Claims
- ...Job Description Job Description Responsibilities The Temporary Claims Examiner/Tester is responsible for auditing, processing, and validating claims data within the QNXT system. This role focuses heavily on testing new configuration updates to ensure the system...ClaimsTemporary workLocal area
- CommunityCare HMO, Inc. in Tulsa, OK is seeking an Operational Support - Claims Review Analyst to perform quality reviews of claims, enrollment, and customer service output. You will audit daily, complete forms for feedback, and collaborate with trainers to address training...Claims
- CommunityCare HMO Inc. is seeking a QNXT Business Analyst to support core system migration by mapping data and business processes from the legacy system to QNXT... ...Enterprise Data Warehouse across Member, Provider, Claims, Clinical, and policy domains. You will document how...Claims
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