45 Results for

Claims Specialist Jobs in Oklahoma City, OK

Jobs

New!

Virtual, OKToday

$41,900–$72,900

RCIS offers a wide range of private product coverages, including a diverse selection of named-peril options, supplemental and stand-alone insurance products as well as federal crop insurance plans through the United States Department of Agriculture’s Risk Management Agency. RCIS Crop Adjuster Physical Requirements: walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs to 50 lbs, work outdoors in varying temperatures/weather conditions.

New!

Oklahoma City, OKToday

$25–$35 Per Hour

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New!

Oklahoma City, OKToday

$25–$35 Per Hour

New!

Oklahoma City, OK2 days ago

$1,903–$1,903

A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.

Oklahoma City, Oklahoma30+ days ago

$76,829–$142,213 Per Year

As a Property Claims Field Adjuster 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims . • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.

Oklahoma City, OK30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Oklahoma City, OK30+ days ago

Remote

Full-time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

Oklahoma City, OK7 days ago

Remote

$50,000–$60,000 Per Year

Job Location: As a remote-first organization, employees are expected to primarily work within reasonable driving commute to our main office locations (Roseville CA, Atlanta GA, Phoenix AZ, and Oklahoma City OK) to meet the requirements of team gatherings, one-off meetings, and company-wide events, as well as the legal, tax, and security regulations based on our business operations. Provide excellent customer service by answering phones, responding to emails, and communicating effectively with clients' employees in a timely manner - answering questions regarding leave entitlement, client policies, the interactive discussion process, and benefits.

Oklahoma City, OK30+ days ago

Expected to stay informed of the latest developments, advancements and trends in the field of medical collections, appeals and denials by utilizing available resources such as on-line information, reading information provided by payors and attending seminars/workshops as approved by management. Responsibilities include, but are not limited to, claim denials, underpayments, coding denials, filing of appeals, zero payments and other claim issues that result in incorrect reimbursement towards outstanding claims.

Oklahoma City, OK30+ days ago

These duties include, but not limited to, adding of new information per requests received, updating new addresses and other information as it changes, maintenance of NDC numbers, maintenance of TSPID numbers and the addition of new charge/procedure/CPT codes. The Charge Correction Specialist/Floater is responsible for reviewing, logging and correcting all charge errors and claim submission errors related to professional accounts.

Oklahoma City, OK30+ days ago

Representative must maintain a positive and highly professional working relationship with patients, physicians and staff, facilities and staff, co-workers, other departments and any other entity they may have contact with in performing their daily duties. This includes, but not limited to, customer service phone calls, resolving patient complaints, research and resolving patient questions, setting up payment plans and initial screening for charity.

UNAVAILABLE, OK30+ days ago

MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.

UNAVAILABLE, OK30+ days ago

Oklahoma City, OK30+ days ago

Alerts management of trends in inaccurate payments, denials or credit balances that may result from payor overpayments/underpayments or inappropriate payment and adjustment posting. Must be able to analyze payments and adjustments to ensure compliance with managed care contracts, payment proposals, out of network policies, government payors, commercial payors and state workers compensation fee schedules.

Oklahoma City, Oklahoma30+ days ago

Responsibilities: Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and written correspondence. Communicate as needed with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about .

Oklahoma City, Oklahoma14 days ago

Assist with the workers’ compensation claims management by issuing and obtaining claim paperwork, collecting statements, and coordinating with Corporate Human Resources on doctor’s notes and return to work programs. Receive initial notices from employees and supervisors for leave of absence requests/needs and coordinates with Corporate LOA department to provide initial information and oversee flow of related paperwork.

UNAVAILABLE, OK30+ days ago

Oklahoma City, Oklahoma10 days ago

Our dedicated team members are involved in every step of our patients’ journeys, bringing hope, compassion, and healing to both patients and their families. Sort and review local printed claims, identifying needed documentation to include and process for mail or fax submission, documenting all actions and processing within 48 hours.

Oklahoma City, Oklahoma10 days ago

Oklahoma City, Oklahoma30+ days ago

Our dedicated team members are involved in every step of our patients’ journeys, bringing hope, compassion, and healing to both patients and their families. Functions include numerous phone calls with insurance companies and patients, extensive investigating for timely insurance payments, always cognizant of timely filing deadlines.

Oklahoma City, OK26 days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Oklahoma City, OK25 days ago

Remote

Full-time

Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.

Oklahoma City, OK25 days ago

Full-time

The incumbent will also work closely with MTF staff to support TRICARE beneficiaries and provide non-clinical support for patient referrals and authorizations; outreach to network providers as necessary; and to facilitate the support of applicable TriWest departments for resolving network gaps, provider and contract concerns, customer service requests, and discharge coordination for patients from network and non-network facilities. • Performs on-site and virtual outreach activities for military installation community and beneficiary groups such as Family Readiness Groups, Retiree Associations, and Installation New-comers Orientation, and provides educational briefings on such matters as transferring TRICARE enrollment, PCM selection, and other interest areas for new people to the community.

Oklahoma City, OK25 days ago

Remote

Full-time

Technical Skills: Proficient with key databases, including FoxPro, Claims Systems, Medical Management Systems, and Provider Data Management Systems; working knowledge of VA policies and procedures, current knowledge of claims, reimbursement methodology; healthcare or managed care experience. • Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately.

Oklahoma City, OK30+ days ago

$26.93–$40.98 Per Hour

This role plays a key part in CMS Stars initiatives, including but not limited to medication adherence, MTM (Medication Therapy Management), SUPD (Statin Use in Persons with Diabetes), and other targeted projects aimed at improving CMS Star Ratings. + Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

Edmond, OK16 days ago

Full-time

Handles correspondence regarding collection activity and records resultsIdentify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible partyMay receive patient payments and/or issue payment receiptsCodingRecord CPT codes on billing formRecord ICD-9 codes on billing formFollow-upInitiates contact with patients and/or third party carriers if there is a delay in responding to statements or claimsMay process incoming and outgoing mailMay receive incoming telephone calls and resolve issues communicatedRecords results of mail and telephone contacts on the computer billing systemContacts insurance carriers regarding non-payment and/or improper payment of claimsReviews denialsInterfaces with patients, physicians, and others regarding professional billing operations and fundsPayment postingPost receipts to proper patient accountsPosts denialsCompare batch proofs and source documents for accuracyReportingAssists in reviewing and balancing IDX transaction reports for administrationReconciles daily IDX receivables reportsPrepares billing statements from statistical dataCredit balance resolutionReview daily billing and accounts receivable credit balance reportsPrepare daily refund check requestsPrepare other daily credit balances other than refundsPost refund checks to patient accountsMail refund checks with supporting documentation General Responsibilities:Performs other duties as assigned. Charge entryPerforms preliminary review of source documents to determine that sufficient data are present for processingUsing alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computerBatch chargesGenerate cash totalsEnter chargesBalances batches by comparing batch proofs to source documents and hash totalsBillingWorks with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas.

Oklahoma City, OK30+ days ago

Remote

$113,000–$120,000 Per Year

Product Specialist , you will make an impact by configuring and maintaining QNXT systems to support provider contracts, benefits, and fee schedules. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

Oklahoma City, Oklahoma30+ days ago

Oklahoma City, OK30+ days ago

$21.84–$33.23 Per Hour

3. Works in all phases of provider enrollment, re-enrollment and expirables management ensuring the timely and accurate enrollment (and recredentialing) of providers in commercial and government payers. We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Oklahoma City, OK30+ days ago

$22–$24

This is not a slow or passive role—you'll be actively working leads, staying on them, and closing deals every single day. We help source, screen, and retain personal injury leads by connecting potential clients with law firms positioned to represent their claims.

Oklahoma City, OK7 days ago

Remote

$50,000–$60,000 Per Year

Job Location: As a remote-first organization, employees are expected to primarily work within reasonable driving commute to our main office locations (Roseville CA, Atlanta GA, Phoenix AZ, and Oklahoma City OK) to meet the requirements of team gatherings, one-off meetings, and company-wide events, as well as the legal, tax, and security regulations based on our business operations. Provide excellent customer service by answering phones, responding to emails, and communicating effectively with clients’ employees in a timely manner - answering questions regarding leave entitlement, client policies, and benefits.

Oklahoma City, OK30+ days ago

$143,104–$173,097 Per Year

Your invaluable clinical insights will help facilitate access to treatment specialists, ensuring exceptional continuity of care for Veterans, helping them to move forward with their claim with confidence and dignity. Conduct Medical Disability Examinations: Perform focused evaluations of Veterans, including reviewing medical histories, conducting physical exams, and assessing the impact of service-related conditions.

Oklahoma City, OK30+ days ago

Full-time

Independently prepare cases for trial, including organizing the complete trial file, preparing direct and cross-examination outlines, developing opening statements and closing arguments, and finalizing exhibit notebooks. Work collaboratively with retained experts to develop opinions that support the defense theory, providing relevant case materials, coordinating site visits, and ensuring experts are properly prepared for deposition and trial testimony.

Oklahoma City, OK30+ days ago

In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing. • Expert Testimony and Litigation Support: In cases of disputes or litigation, Specialist may be required to present their findings in court, provide expert testimony, and assist attorneys in building their cases.

Oklahoma City, OK30+ days ago

$143,104–$173,097 Per Year

The role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.

Oklahoma City, OK30+ days ago

Remote

$223,800–$313,100 Per Year

Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.

Oklahoma City, OK30+ days ago

Remote

$246,100–$344,200 Per Year

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Oklahoma City, OK14 days ago

Responsible and accountable for the management of all Patient Access Services for Community Hospital North Campus, Northwest Surgical Hospital, and north OKC Outpatient Therapy ancillary sites, which includes strategic and operational oversight. Possess excellent verbal and written communication skills in order to effectively interact with patients, physicians, administration, and the hospital management team.

Oklahoma City, OK30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Oklahoma City, OK30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. The Medical Director’s work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Oklahoma City, OK30+ days ago

Leveraging your profound expertise in graph databases (e.g., Neo4j, ArangoDB, Amazon Neptune, Ontotext GraphDB), distributed graph processing frameworks (e.g., Apache Spark GraphX, Dask-Graph), and leading GML libraries (e.g., PyTorch Geometric, DGL, Spektral), you will conduct in-depth research, construct sophisticated predictive, prescriptive, and diagnostic models directly on graph structures. You will proactively identify opportunities to construct and leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims, and clinical data to uncover hidden patterns, propagate insights through networks, and develop groundbreaking analytical solutions that exploit the rich, multi-modal structures within healthcare.

New!

Oklahoma City, OKToday

Oklahoma City, OK26 days ago

Remote

Berry Street empowers independent dietitians to accept insurance and grow thriving private practices by providing comprehensive credentialing, scheduling, referral, and technical support, as well as access to a vibrant, collaborative clinician community. Dietitians working with Berry Street are committed to these pillars of high-quality care: Evidence-based: We provide quality care based on the latest clinical research.

Oklahoma City, OK30+ days ago

Reporting directly to the product and sales leadership, you'll: Conduct onsite demos, workflows analysis, and solution scoping with prospective healthcare clients (physician groups, specialist clinics, hospitals). Proactively identify and resolve complex client challenges-both clinical and financial-using creative, out-of-the-box thinking and practical solutions drawn from deep billing, coding, and EMR implementation experience.

Oklahoma City, OK12 days ago

We are looking for a driven Sales Performance Manager to lead a team of Intake Specialists in a fast-paced, quota-driven environment. We help source, screen, and retain personal injury leads by connecting potential clients with law firms positioned to represent their claims.

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Claims Specialist Jobs in Oklahoma City, OK

Jobs

RCIS Crop Claims Specialist or Claims Crop Field Adjuster, OKZurich Insurance Company Ltd.

Medical BillerJobot

Medical CoderJobot

Travel Nurse RN - Outpatient Clinic - $1,903 per week in Oklahoma City, OKMagnet Medical

Property Claims Specialist Field IIMercury Insurance Services, LLC

Medical Director - Claims ManagementHumana

Sr Claims ReviewerTriWest Healthcare Alliance

ADA Associate/SpecialistLarkin Benefit Administrators

Facility Appeals Denial Management SpecialistUnited Surgical Partners International

Charge Correction Specialist/FloaterUnited Surgical Partners International

Customer Service Specialist (Full Time)United Surgical Partners International Inc (USPI)

Training SpecialistMCI Careers

Quality Assurance SpecialistMCI Careers

Receipt Posting Specialist - FTUnited Surgical Partners International

Infusion Revenue Cycle Management Specialist - CollectionsKPH Healthcare Services

Branch Support SpecialistAllied Universal

Senior Business Development SpecialistMCI Careers

Hospital Billing Specialist IOklahoma Heart Hospital

Professional Billing Specialist IOklahoma Heart Hospital

Hospital Insurance Follow-Up Specialist IOklahoma Heart Hospital

Reporting SpecialistMaximus

Program Integrity Clinical Specialist (RN or PA Req'd)TriWest Healthcare Alliance

Field Support SpecialistTriWest Healthcare Alliance

Provider Data SpecialistTriWest Healthcare Alliance

Pharmacy Government Stars SpecialistIntermountain Health

Senior Patient Account Rep - PB EDI SpecialistOU Medicine, Inc.

Sr. QNXT Configuration SpecialistCognizant

Professional Insurance Follow-Up Specialist IOklahoma Heart Hospital

Provider Enrollment SpecialistIntermountain Health

Sales Intake SpecialistQuintessa Marketing

Employee Success Associate - Leave AdministrationLarkin Benefit Administrators

Examiner Physician AssistantLoyal Source

Associate Litigation AttorneyOklahoma Farm Bureau Insurance Company

FEMA Disaster Management AccountantCDM Smith

Examiner Nurse PractitionerLoyal Source

Medical Director - Northeast RegionHumana

Medical Director - Medicare Grievances and Appeals CorporateHumana

Director of Patient AccessUnited Surgical Partners International

Medical Director - Southeast RegionHumana

Medical Director - FloridaHumana

Lead Data Scientist - Research and Development - Graph IntelligenceHighmark Health

Travel Nurse RN - Outpatient Clinic - $1,903 per week in Oklahoma City, OKTravelNurseSource

Remote Registered Dietitian or CNS - Flexible Hours, Work from AnywhereBerry Street

EMR Billing Product ManagerA Path of Care

Sales Intake ManagerQuintessa Marketing

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