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Full-time
high school
Posted 20h ago
~40 hrs/week
Responsibilities
The Claims Examiner is responsible for reviewing, adjudicating, and adjusting claims to determine appropriate payment or denial. They must identify trends, investigate complex claims, and ensure accuracy and efficiency in processing.
Requirements
Requires a high school diploma and at least two years of experience in claims processing, medical billing, or related medical education. Candidates must be proficient in CPT codes, medical terminology, and Microsoft applications.
Full job description
JOB SUMMARY:
The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or adjust the claim. Examiners are expected to meet performance expectations in accuracy and efficiency.
KEY RESPONSIBILITIES:
Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions.
Identify claims requiring additional resources and route to the team lead, supervisor or other departments as needed.
Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials.
Identify and communicate trends or problems identified during adjudication process.
Contribute to the creation of a pleasant working environment with peers and other departments.
Assist in investigating and solving claims that require additional research.
Consistently learn and adapt to changes related to claims processing, benefits, limits and regulations.
Perform other job-related duties as assigned.
QUALIFICATIONS:
Self-motivated and able to work with minimal direction.
Ability to read and understand claims processing manuals, medical terminology, CPT codes, and perform basic processing procedures.
Ability to read and understand health benefit booklets.
Demonstrated learning agility.
Successful completion of Health Care Sanctions background check.
Knowledge in the contracted managed care plan terms and rates.
General understanding of unbundling methods, COB, and other over-billing methodologies.
Must have high attention to detail.
Proficient in Microsoft applications.
Ability to perform basic mathematical calculations.
Possess strong oral and written communication skills.
EDUCATION/EXPERIENCE:
High School Diploma or Equivalent required.
Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required.
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin
Related keywords
HMOClaims ExaminerAdjudicationCPT CodesMedical BillingManaged CareCOBUnbundlingHealth Care SanctionsMedical TerminologyClaims Processing Software
Caring for Oklahomans like no other health plan can or does.
Industry
Insurance
Company size
201-500 employees
Founded
1993
Headquarters
Tulsa, OK
LinkedIn followers
10,496
CommunityCare is Oklahoma's largest locally owned health plan. Products offered include group and individual plans, Medicare Advantage plans, an employee assistance program and a workers' compensation plan. Located in Tulsa, CommunityCare is owned by Ascension St. John and Saint Francis Health System.
CommunityCare is proud to be Oklahoma’s best choice for health care.
Offices: Two West Second Street, Suite 100, Tulsa, OK 74103, US
How many Administrative jobs are open in Tulsa, OK right now?
There are currently 289 open administrative positions in Tulsa, OK listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Tulsa, OK?
Companies currently hiring include Ascension, CommunityCare, Hillcrest HealthCare System, Center for English as a Second Language at the University of Oklahoma, Dental Depot, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Tulsa, OK?
Yes — 24 of the 289 open administrative positions offer remote or hybrid work (5 remote, 19 hybrid).
How do I apply for Administrative jobs in Tulsa, OK?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.