Associate, Payment Integrity

Oscar Health

Tempe, Arizona, United States
Base: $82,717 - $108,566 py; bonus/equity: annual ...
On-site
Claims processing edits
Reimbursement policies
Industry standards analysis
The Payment Policy Associate manages and executes all payment policy activities, including organizing, scoping, investigating, and resolving payment policy issues

Job Summary

  • The Payment Policy Associate manages and executes all payment policy activities, including organizing, scoping, investigating, and resolving payment policy issues.
  • Analyze data mining and process monitoring to pinpoint claims payment issues, then define the scope and steps for policy remediation.
  • 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

The Payment Policy Associate manages and executes all payment policy activities, including organizing, scoping, investigating, and resolving payment policy issues.

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 edits
  • reimbursement policies
  • industry standards analysis
  • claim payment issues investigation
  • payment policy drafting

Nice-to-have

  • culture of transparency
  • stakeholder communication
  • process improvement training

Key Requirements

  • Bachelor's degree or 4+ years experience
  • 4+ years claims processing experience
  • 4+ years medical coding experience
  • Medical coding certification (AAPC or AHIMA)
  • Experience with reimbursement methodologies
  • 3+ years independent project drive

Work Rights

Not specified

Tailored Resume

Cover Letter