Associate, Payment Integrity

Oscar Health

Atlanta, Georgia, US
Base: $82,717 - $108,566 py; bonus/equity: annual ...
Remote
Claims processing infrastructure
Workflow tooling and platform logic
Data models and claim environment
This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients

Job Summary

  • This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients.
  • The Associate provides thought leadership for Payment Integrity process and workflows that impact claims payments and works closely with cross functional partners on execution of changes.
  • The base pay for this role is: $82,717 - $108,566 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Matching Summary

This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients.

Salary

Base: $82,717 - $108,566 per year; Bonus/Equity: annual performance bonuses; Benefits: employee benefits, unlimited vacation program

Skills & Requirements

Must-have

  • claims processing infrastructure
  • workflow tooling and platform logic
  • data models and claim environment
  • cross-functional collaboration
  • issue resolution and process improvement

Nice-to-have

  • thought leadership for payment integrity
  • culture of transparency and collaboration
  • speedy research and root cause analysis

Key Requirements

  • 4+ years of experience in claims processing
  • 4+ years experience in medical coding
  • Medical coding certification
  • Experience with reimbursement methodologies
  • 3+ year(s) ability to work independently

Work Rights

Not specified

Tailored Resume

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