Medicare/Medicaid Claims Auditor (Hybrid)
American Health Communities
American Health Communities is seeking a Claims Auditor in Oklahoma City, OK. This role involves ensuring accurate claims payment, regulatory compliance, and providing exceptional customer service. Ideal candidates will have at least two years of experience in health insurance claims processing or auditing, along with knowledge of CMS regulations. A coding certification is preferred. The position may require onsite work 2-3 days per week at the Franklin, TN office. Benefits include comprehensive health insurance and a generous paid time-off program. #J-18808-Ljbffr American Health Communities
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Medicare/Medicaid Claims Auditor (Hybrid) in Oklahoma City, OK vacancy
$71.1k - $97.8k
...The Inpatient Medical Coding Auditor extracts clinical... ...to review inpatient hospital claims for proper reimbursement, handle... ...Humana will provide Home or Hybrid Home/Office associates with... ...quality of life for people with Medicare, Medicaid, families, individuals, military...ClaimsBi-weekly payContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...nursing home operators, these Medicare Advantage plans manage... ...pay audits to ensure accurate claims payments and denials Ensure... ...auditing claims for Medicare and Medicaid plans Strong knowledge of CMS... ...automated claims processing systems Hybrid role that may require 2‑3...ClaimsRemote jobFull timeTemporary workWork at officeLocal area2 days per week3 days per week
- ...accepting applications for a Medicare Billing Associate in Oklahoma... ...analyzing, and managing ambulance claims for assigned payor types.... ...insurance, Medicare, Medicaid, HMO's and clients to collect... ...be hardwired In person and hybrid in the Oklahoma City area...ClaimsFull timeLocal area
Pafford EMS
Oklahoma City, OK2 days ago - ...Health in Oklahoma City, OK is seeking a detail-oriented Accounts Receivable Manager. This role involves managing Medicare, Medicaid, and Managed Care claims, ensuring compliance with regulatory requirements, and strong attention to detail. The ideal candidate will...ClaimsWork at office
$46.99k - $122.4k
...Position Summary The Program Integrity Auditor is responsible for the review of records... ...education, recoupment of funds or rebilling of claims, and referral to state regulators for any... ...) that currently administers benefits to Medicaid members across multiple lines of business...ClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...Review and correct all billable claims Follow-up claim status check/rejection... ...Qualifications: Experience with Medicare, Medicaid and/or MVA, VA and Commercial Insurance... ...have access to high-speed internet Hybrid position in the Oklahoma City Area. In...ClaimsWork at officeLocal area2 days per week3 days per week1 day per week
Pafford EMS
Oklahoma City, OK2 days ago - ...Compliance Officer & Internal Auditor The Oklahoma State Treasurer (OST) is seeking a... ...If providing coverage use UP program claims software to support analyses, auditing, and... ...remote work, including telecommuting or hybrid arrangements. The nature of this position...ClaimsWork at officeRemote workTrial periodMonday to Friday
State of Oklahoma
Oklahoma City, OK4 days ago $146.24k - $152.24k
Psychologist (Hybrid) Summary The psychologist performs Medical Disability Examinations... ...for veterans when they file disability claims for mental health conditions (e.g. PTSD... ...Reviews Experience with Commercial, Medicaid and Medicare lines of business Experience with CPT...ClaimsFor contractorsFor subcontractorWorldwide- ...mental health evaluations for veterans applying for disability claims. Responsibilities include conducting assessments for PTSD, anxiety... ...least two years of post-licensure experience. The position is hybrid, requiring a secure home workspace. Competitive salary is offered...Claims
- ...a strong background in insurance coverage analysis or bad faith claims, exceptional writing and research skills, and be admitted to practice... ...law in one of the designated states. The position offers a hybrid work schedule and a competitive benefits package, including health...ClaimsWork at officeRelocation package
- Globe Life is seeking a Premium Accounting Coordinator in Oklahoma City, Oklahoma. This hybrid role involves assisting with claim operations and maintaining a professional work atmosphere. Key responsibilities include training staff and being the subject matter expert for...ClaimsWork at office
- A growing claims management firm in Oklahoma City is seeking a Senior Subrogation Claims Specialist to manage high-value claims and total... ...and efficiency in claims management tools. This position offers hybrid work flexibility with competitive benefits including medical,...Claims
- Globe Life is seeking an Associate Communications Clerk to assist with the claim operation. This hybrid position in Oklahoma City includes responsibilities like sorting claim documents and maintaining quality control. The ideal candidate has a high school diploma, strong...ClaimsWork at office
$48k
...Job Posting Title Claims Auditor (Claims Processor) I Agency 740 STATE TREASURER Supervisory Organization Office of the State Treasurer Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date...ClaimsFull timePart timeWork at officeVisa sponsorshipMonday to FridayFlexible hoursState of Oklahoma
Oklahoma City, OK2 days ago$215k - $408.5k
...to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and... ...utilization and health care quality. Reviews claims involving complex, controversial, or... ...flexible approach to work with remote, hybrid, field or office work schedules. Actual...ClaimsFull timePart timeWork at officeRemote workFlexible hoursWeekend workCentene Corporation
Oklahoma City, OK6 days ago$40k
...This role may involve work from home, full-time in-office, or a hybrid arrangement. The specific work arrangement will be determined by... ...aware of an increase in recruitment scams where individuals falsely claim to represent AML RightSource. These scammers may ask for money...ClaimsOngoing contractFull timeWork at officeLocal areaWork from homeMonday to FridayAML RightSource
Oklahoma City, OK2 days ago- ...Coordinator to join the team!This role is responsible for assisting the claim operation by completing a wide variety of tasks designed to... ...with customers, co-workers, and management.This is a hybrid position located in Oklahoma City, Oklahoma (WFH Monday & Friday...ClaimsFull timePart timeWork experience placementWork at officeWork from homeMonday to FridayShift work
$75k - $95k
...oriented, upholds a professional demeanor in all tasks and relationships, and responds in ways that benefit both clients and the firm. Hybrid remote flex is offered. This position offers a great work life balance with minimal local travel. Responsibilities: ·...Local areaRemote workFlexible hoursLHH US
Oklahoma City, OK24 days ago- ...Tomorrow Better. Job Description Associate Communications Clerk (Hybrid) Role Overview Could you be our next Associate Communications... ...Clerk to join the team! This role is responsible for assisting the claim operation by completing a wide variety of tasks designed to...ClaimsFull timePart timeWork experience placementWork at officeWork from homeMonday to FridayShift work
$50k - $70k
...‐solving to our clients. Work Arrangement This is a full‑time, hybrid position reporting to our office located in Middleboro, MA. Computer... ...to all billing related questions. Take first reports of claims, when the claims team is unavailable. Answer all policy and insurance...ClaimsFull timeTemporary workWork at officeLocal areaWork from homeFlexible hoursNight shift$92k - $153.3k
Manager, Network Management - Cigna Healthcare - Hybrid (Newton, MA) page is loaded## Manager, Network Management - Cigna Healthcare -... ...opportunities.* Coordinate closely with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure aligned execution....ClaimsContract workWork at officeLocal areaRemote workWork from home$54k - $57.5k
...please click the submit button and follow the next steps. As a claims adjuster trainee, you'll learn how to help customers get back on... ...confidently and independently adjust claims. This is a hybrid role, which means you'll work in-office two days that are...ClaimsHourly payTraineeshipWork experience placementWork at officeLocal areaMonday to FridayMSCCN
Oklahoma City, OK6 days ago$223.8k - $313.1k
...medical background and reviews health claims. The Medical Director work... ...utilization management or inpatient review (Medicare Advantage, Managed Medicaid, or Commercial lines of business).... ...Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work...ClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work- ...and follows up in a timely manner. Reprocesses insurance claims for medications as needed Communicates with patient on authorization... ...claim rejections and prior authorizations. Knowledge of Medicare, Medicaid, and Commercial PBMs. Knowledge of insurance plan...ClaimsWork at officeMonday to Thursday
Oklahoma Arthritis Center
Edmond, OK1 day ago - ...and financial support options Troubleshooting insurance claim issues or pharmacy rejections Researching payer guidelines... ...billing, or insurance verification ~ Experience working with Medicare, Medicaid, and commercial pharmacy benefit plans ~ Familiarity with...ClaimsPermanent employmentFull timeContract workWork at officeMonday to FridayWeekday work
Impactkare
Edmond, OK10 hours ago - ...Collections Specialist to support our Revenue Cycle Management team. This position is responsible for insurance and patient collections, claim follow-up, payment posting review, denial resolution, and maintaining accurate account documentation. The ideal candidate will...ClaimsPart time
Medical Spine Practice
Oklahoma City, OK29 days ago $110k - $150k
...staffing agency is seeking a Mid-Senior level Audit Manager to join a Top25 National CPA Firm in Oklahoma City. This role offers a hybrid schedule and significant career growth opportunities. The candidate will be involved in various industries and is expected to enhance...$20 - $28 per hour
...You’ll be instrumental in managing and resolving insurance claims, contributing to the financial health of the organization. Key... ...cycle Knowledge of third‑party reimbursement, including Medicare and Medicaid Experience with Medicare online system Good investigative skills...ClaimsWeekly pay- ...payments, always cognizant of timely filing deadlines. Follow-up on Medicare, Medicaid, and Commercial encounters via the web portals and online... ...assigned work lists, contacts insurance companies to confirm claim receipt, obtain payment and estimated payment date within 90...ClaimsTemporary workReliefFlexible hours
Oklahoma Heart Hospital
Oklahoma City, OK2 days ago - ...Specialty Pharmacy Navigator will direct specialty pharmacy claims in an efficient manner to provide the highest level of coordinated... ...insurance eligibility and level of coverage; understand Medicare/Medicaid regulations and billing guidelines as they pertain to Specialty...ClaimsHourly payDaily paidMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicare/Medicaid Claims Auditor (Hybrid). Be the first to apply!
Related searches
- remote auditor Oklahoma City, OK
- field auditor Oklahoma City, OK
- medical records auditor Oklahoma City, OK
- remote nurse auditor Oklahoma City, OK
- compliance auditor Oklahoma City, OK
- medical claims auditor Oklahoma City, OK
- sales auditor Oklahoma City, OK
- safety auditor Oklahoma City, OK
- inventory auditor Oklahoma City, OK
- data auditor Oklahoma City, OK