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
- ...The role focuses on reviewing and correcting billable claims, managing workflow independently, and complying with insurance... ...a High School Diploma and preferred experience with Medicare and Medicaid billing. This hybrid position requires attendance in-office 3-4 days a week,...ClaimsWork at officeRemote work3 days per week
$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- ...City or Tulsa to perform clinical, billing, and coding reviews for claims. Responsibilities include validating claims and collaborating... ...with strong communication and organizational skills. This is a hybrid role with benefits like a 401(k) and paid time off. #J-18808-Ljbffr...Claims
- ...industry player is seeking a Medicare Billing Associate to join their... ...and managing ambulance claims, ensuring accuracy and compliance... ...Your expertise in Medicare, Medicaid, and private insurance billing... ...offers a blend of in-person and hybrid work options, providing...Claims
$59.3k - $80.9k
Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure... ...leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and...ClaimsFull timeTemporary workApprenticeshipRemote workWork from home- ...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
- ...services is seeking a detail-oriented billing specialist. This hybrid position allows for a blend of in-office and remote work,... ...experience with various insurance billing processes, including Medicare and Medicaid, and possess strong problem-solving skills. Join a team...ClaimsWork at officeRemote work
- Humana Inc is seeking an Encounter Data Management Professional to ensure data integrity for claims errors while developing processes for successful submissions to Medicaid/Medicare. You will work independently to enhance process improvement initiatives and report to the...ClaimsRemote job
$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$55.9k - $123.5k
...contractual, legislative, policy, and other information to validate claims submitted and billed. The individual in this role will also... ...Tulsa, OK or Oklahoma City, OK offices. Schedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote. Monday - Friday position...ClaimsWork at officeRemote workMonday 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
- The Oklahoma Department Of Human Services is seeking an Auditor in Oklahoma City. This role involves performing advanced audits to ensure... ...with CPA, CIA, or CFE certifications. The position offers a hybrid schedule and aims to support resource efficiency in serving Oklahomans...
$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- A prominent insurance provider in Massachusetts is seeking an Associate APD Claims Representative. This entry-level role involves managing automobile insurance claims, ensuring timely communication, and demonstrating empathy. Candidates will need a high school diploma...Claims
- ...collect vital data, providing exceptional customer service while explaining policy changes, and collaborating with underwriting and claims staff. A strong candidate should possess an Associate’s degree along with excellent communication skills, both written and verbal....Claims
- ...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
$90k - $110k
...Massachusetts is looking for a Healthcare Attorney to manage complex claims and legal compliance. This full-time position requires a Juris... ...issues in a collaborative environment. Benefits include a hybrid work schedule and competitive salary between $90,000 - $110,000,...ClaimsFull time- ...Medical Services is looking for a Medicare Billing Associate in Oklahoma... ...and managing ambulance claims for various payor types, ensuring... ...and knowledge of Medicare, Medicaid, and private insurance... ...allows for both in-person and hybrid work in the Oklahoma City area...Claims
- ...to ensure understanding of changes in premium, and expediting adjustments for resolution. Work collaboratively with underwriting, claims, and loss prevention staff to share information and analyze and summarize audit findings. What You Bring Requires Associate’s degree...Claims
- ...oversee a team responsible for complex operational tasks including claims processing. This role involves developing team leaders, managing... ...understanding of insurance products. The position offers a hybrid work model with onsite amenities including a fitness center and...Claims
$59.3k - $80.9k
A leading healthcare company is seeking a Medical Coding Auditor responsible for reviewing medical claims and ensuring compliance with coding guidelines. The role requires strong attention to detail, experience with operative reports, and necessary certifications. This...ClaimsRemote job- 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
$63k - $108k
Overview Selective Insurance is seeking a Premium Auditor/Sr. Premium Auditor for the Mid-Atlantic region. Under limited supervision and... ...operations, detail exposures according to manual rules, verify claims data, and determine and/or develop premium basis and...ClaimsFor subcontractorRemote workNight shift- ...values, Sustainability initiatives and inclusive corporate culture. Our Claims Analytics team is currently seeking a Senior Data Engineer to join our growing team in our Worcester, MA office, hybrid or remote work arrangement. This is a full-time, exempt position....ClaimsRemote jobPermanent employmentFull timeTemporary workWork at officeWork from homeFlexible hours
$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 hours$26.01 - $38.51 per hour
Farmers is looking for a Spanish Bilingual Auto Claim Owner in Oklahoma City. This role involves investigating auto claims, determining... ...medical, dental, and vision coverage. Farmers fosters a hybrid work environment, balancing in-office and remote opportunities....ClaimsHourly payWork at officeRemote work- The Hanover Insurance Group is seeking a Senior Data Engineer to join our Claims Analytics team in Worcester, MA, with hybrid or remote work options available. This full-time position involves developing scalable data models, directing projects, and collaborating with cross...ClaimsRemote jobFull timeFlexible hours
$68.8k - $94k
...A public sector solutions firm is seeking a TPA Claiming Lead in Oklahoma City. You will lead claims management efforts and collaborate across teams for effective execution of obligations. The ideal candidate will have over 6 years of relevant experience, strong leadership...ClaimsRemote work$90k - $110k
...respective lists for the Top Places to Work in 2025. Note: This is a hybrid schedule and can provide a flexible teleworking schedule if... ...reviews of member and provider appeals, grievances, and complex claims issues, particularly in self-funded and ERISA-regulated plans...ClaimsFull timeWork at officeFlexible hours
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