Remote Payment Integrity Associate: Claims & Process
Oscar Health
Oscar Health is seeking an Associate to join our Payment Integrity team. This role supports process improvement and issue resolution in the Oscar claim environment for both Oscar Insurance and +Oscar clients, leveraging deep knowledge of claim infrastructure, workflows and data models to translate friction into actionable opportunities. Reporting to the Senior Manager, Payment Integrity, this remote position is open to multiple metros and may evolve into a hybrid presence. #J-18808-Ljbffr
$82.72k - $108.57k
Oscar Health is hiring an Associate to join the Payment Integrity team. This remote role supports process improvements and issue resolution within Oscar's claim environment, working cross-functionally to translate friction into actionable improvements. You will report...Remote jobClaims$82.72k - $108.57k
...'re Oscar. We're hiring an Associate to join our Payment Integrity team. Oscar is the first health... ...responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the... ...Work Location: This is a remote position, open to...Remote workClaimsFull timeContract workWork at office$76k - $99k
...The Payment Integrity team is a group of innovative thinkers... ...’s provider Network, Claims, and Tech teams. The... ...reflected in claims processing practices. You will help... ...are identified. The Associate – Inpatient Coder coordinates... ..., we embrace a remote-first culture that...Remote jobClaimsFull timeWork experience placementWork at officeFlexible hours$198.22k - $297.33k
## Associate Vice President, Claim Payment AccuracyApply: Fully Remote: Orange, CA: Full time: Posted Today: R2686Alignment Health... ...role partners across Payment Integrity, Claim Audit, Claim Operations... ...recovery by fixing upstream process, configuration, data, policy,...Remote workClaimsFull timeTemporary work$91.91k - $120.63k
..., we're Oscar. We're hiring an Associate, Itemized Bill Review to join our Payment Integrity team.Oscar is the first health... ...the solutions. You will ensure claims are paid accurately and timely... ...the refinement of internal audit processes and tools to enhance efficiency...ClaimsFull timeContract workWork at officeFlexible hours$100k - $110k
...Payment Integrity Manager (RN) Fully remote, open to candidates located anywhere in the United States. Make... ...critical leadership role in ensuring claims accuracy, driving reimbursement... ...operational stakeholders to improve processes and outcomes. Analyze claims,...Remote workClaimsFull time- ...is hiring a Senior Analyst to join the Payment Integrity team. This role supports process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance... ...Manager, Payment Integrity. This fully remote role is open to candidates nationwide with...Remote workClaims
- BCBS Global Solutions seeks a Claims Payment Specialist to investigate and resolve payment issues... ..., and internal teams to ensure accurate processing and timely communications. The role emphasizes attention to detail, data integrity, and proactive problem-solving in a...Remote jobClaims
$56.2k - $101k
...problems to improve existing processes Perform detailed... .... Benefits and Payment Configuration: Compliance... ...Prepay Compliance (Payment Integrity): Bachelor’s degree... ...requirements) or claims payment/analysis experience... ...approach to work with remote, hybrid, field or...Remote workClaimsFull timePart timeWork at officeFlexible hours$91.7k - $163.7k
...Growing together. As part of Optum's Payment Integrity Decision Intelligence team, the... ...that improve clinical audit processes. You'll enjoy the flexibility to work remotely * from anywhere within the U.S.... ...ADB Experience with healthcare claim data Experience in...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- ...A leading healthcare firm is seeking a Payment Integrity Specialist for a fully remote role. Candidates must be based in EST or CST and comfortable with... ...Responsibilities include analyzing medical records, handling claims, and utilizing systems like Facets and NASCO. Ideal...Remote workClaimsContract work
- ...Medical Director, Clinical Payment IntegrityThe Medical... ..., Clinical Payment Integrity provides clinical oversight... ...documentation, claims data, coding practices... ...methodologies, clinical review processes, and reimbursement... ...capabilities.Fully Remote: This role is designated...Remote workClaimsWork at office
$73k - $125k
...conducting prepayment and post-payment clinical reviews of... .... The auditor reviews claims and medical records for... ..., and Payment Integrity guidelines. This role requires... ...the dispute or appeal process. Collaborate on Complex... ...and meet deadlines in a remote work environment....Remote workClaimsFull timeContract workInternship- ...Leads and manages team responsible for payment integrity activities including recovery operations... ...(Shared Services) to resolve system or process issues impacting payment accuracy. •... ..., including 4 years payment integrity/claims experience, or equivalent combination of...Remote workClaimsFull timeWork at office
$72.8k - $130k
...Payment Integrity Data AnalystOptum Insight is improving the... ...specifications for product or process builds, creating... ...flexibility to work remotely from anywhere within... ...and analyze claims and membership dataWrite... ...methodologyKnowledge of NAIC (National Association of Insurance...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$16.5 per hour
Job Title: Payment Processing Associate Location: Remote Pay Rate: 16.50 Employment Type: Full -Time Shift Information: Monday-Saturday (Wednesday' s off) 6 am-2:30 pm Job Summary: Provide administrative/clerical support for business operations. Review payments. performs...Remote workHourly payFull timeShift work- ...CorVel Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits, applying CMS guidelines and client policies. This is a remote position with responsibilities spanning audits, documentation review, and coordination with clinical teams....Remote workClaims
- ...Working remotely in a full-time capacity, the Payment Processing Associate will provide administrative support, review payments, and perform data entry tasks while ensuring accuracy and confidentiality in a fast-paced environment. Key Responsibilities Ensure accuracy...Remote workFull time
$87.7k - $157.8k
...responsible for leading recoupment claim inventory management and BOT automation monitoring to ensure Payment Integrity Amisys, Facets, Xcelys, and ABS recovery processes operate as expected, resolving... ...Key Details: This is a fully remote role, applicants can work...Remote workClaimsFull timePart timeWork at officeFlexible hours$100.6k - $132.04k
...Data Mining to join our Payment Integrity team. Oscar is the... ...will report into the Associate Director, Payment Integrity... ...Location: This is a remote position, open to... ...Oversee the quality control process for data mining vendor... ...with healthcare claims adjudication ~ Experience...Remote workClaimsFull timeWork at office- ...Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or CST and must... ...by healthcare providers warrants a change in claim payment. This is a non-phone, research-heavy role perfect...Remote workClaimsContract work
$75k - $90k
...opportunities, confirms claim repricing accuracy and... ...pricing rules, and claim payment methodologies. The... ...qualifications) Location: 100% Remote (U.S.-based) Up to 10%... ...job aids, tutorials, process documentation,... ...healthcare auditing, Payment Integrity, coding, claim quality...Remote workClaimsContract workTraineeship$66.94k - $101.26k
The Payment Integrity Analyst is responsible for accurately reviewing and... ...completing pre- and post pay claim audits based on client, policy... ...CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS... ...payer policies, claims processing and reimbursements, IDC-10 Coding...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$110.5k - $150k
...role: The Senior Manager of Payment Integrity is responsible for data-... ...strict SLA compliance across all claim disputes and escalations.... ...and provider education. Process Modernization: Identify opportunities... ...accuracy. #LI-DS1 #LI-Remote Salary range: $110,500 -...Remote workClaimsFull timeContract workInternship- ...Leading the enterprise claim payment accuracy strategy, the full-time Associate Vice President of Claims... ..., all while working remotely. Key responsibilities... ...health plan claims, payment integrity, or related fields,... ...end-to-end claim payment processes and upstream factors affecting...Remote workClaimsFull time
- ...Position Purpose: The Payment Integrity Business Partner serves as a primary... ...operations, managed care, claims, payment integrity, provider... ...and related project, process improvement, or operational... ...flexible approach to work with remote, hybrid, field or office work...Remote workClaimsFull timePart timeH1bWork at officeFlexible hours
- ...Plan is seeking an experienced Senior Payment Integrity Analyst to serve as a key business lead... ..., detect, and recover improper medical claims while working closely with Finance, IT,... ...with claims and encounter data and processes within a health plan is preferred \n...Remote workClaimsContract workWork experience placement
- ...To support a dynamic healthcare team, the remote Healthcare Claims Processing Associate will process professional claim forms, review policies and benefits, and ensure compliance with company regulations while maintaining high-quality standards. Key responsibilities Process...Remote workClaims
$17 - $18.15 per hour
...The Patient Access Associate Specialist plays a... ...and access processes within the healthcare... ...role ensures data integrity, regulatory compliance... ..., and first-pass claim rates. Serves as the... ...including payment plan options. The... ...Top Workplace for Remote Work 2024 Great Place...Remote workClaimsWork at officeLocal area- ...Work at the intersection of traditional claim submission and cutting-edge AI. Help customers submit claims accurately and efficiently... ...systems perform at the highest standard. What you'll do: Post payments, adjustments, and denials from ERAs, EOBs, and lockbox files. Balance...Remote workClaims
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