Tulsa, Oklahoma, United States · On-site
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 appropriat…
Skills: Claims Adjudication, Medical Terminology, CPT Codes, Claims Processing, Microsoft Office
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk memb…
Skills: Utilization Review, Clinical Review, Medical Necessity Assessment, Care Coordination, Case Management
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: The Analyst provides analytical support for all departments, including analysis, pricing, capitation, network and provider specific reporting. Analytical support includes creating and executing beginner and …
Skills: Data Analysis, Statistical Analysis, Data Modeling, SQL, SAS
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: This position works under the Marketing Department and serves as the primary strategic resource for the Individual & Family Plan line of business. This role is responsible for coordinating growth strategies,…
Skills: Strategic Planning, Market Development, Broker Relations, Training and Education, Data Analysis
Tulsa, Oklahoma, United States · On-site
$1k–$7k/yr
Company Description Chamberlain University has a 130-year history and the mission to educate, empower, and embolden diverse healthcare professionals who advance the health of people, families, communities, and nations. W…
Skills: Clinical Teaching, Maternal Child Nursing, Student Evaluation, Curriculum Implementation, Patient Care Supervision
Tulsa, Oklahoma, United States · On-site
$1k–$7k/yr
Company Description Chamberlain University has a 130-year history and the mission to educate, empower, and embolden diverse healthcare professionals who advance the health of people, families, communities, and nations. W…
Skills: Pediatric Nursing, Clinical Teaching, Student Evaluation, Curriculum Implementation, Family-Centered Care
Tulsa, Oklahoma, United States · On-site
$560/hr–$7k
Company Description Chamberlain University has a 130-year history and the mission to educate, empower, and embolden diverse healthcare professionals who advance the health of people, families, communities, and nations. W…
Skills: Clinical Teaching, Mental Health Nursing, Student Evaluation, Therapeutic Communication, Curriculum Implementation
Tulsa, Oklahoma, United States · On-site
Please use Google Chrome or Mozilla Firefox when accessing Candidate Home.By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spirit at its best. Are yo…
Skills: Phlebotomy, Customer Service, Verbal Communication, Blood Collection, Microsoft Office
Tulsa, Oklahoma, United States · On-site
$11/hr–$15/hr
We Are Inspired to Serve. Join us!Part of a nation wide family of Continuing Care Retirement Communities is seeking a Housekeeper. The purpose of this position is to provide campus services in areas of cleaning and minor…
Skills: Cleaning, Minor Maintenance, Infection Control, Floor Maintenance, Waste Management
Tulsa, Oklahoma, United States · On-site
The Clinical Supervisor position works collaboratively with clinical and program director and is responsible for ensuring quality service and high professional standards by demonstrating advanced clinical practice, provi…
Skills: Clinical Supervision, Case Consultation, Evidence Based Practice, Program Management, Quality Performance Initiatives
Tulsa, Oklahoma, United States · On-site
$50k–$95k/yr
About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. En…
Skills: Community Outreach, Market Analysis, Sales Strategy, Patient Referral Generation, Marketing Planning
Tulsa, Oklahoma, United States · On-site
Join our team as a day shift, part-time, Monitor Tech in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities, tuition assis…
Skills: Electrocardiography, Cardiac Arrhythmia Recognition, Heart Rhythm Analysis, Telemetry Monitoring, Patient Care
Tulsa, Oklahoma, United States · On-site
Join our team as a night shift, full-time, Orthopedic Unit Patient Care Technician (PCT) in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career …
Skills: Patient Care, Activities Of Daily Living (ADLs), Vital Signs Monitoring, Specimen Collection, Patient Transport
Tulsa, Oklahoma, United States · On-site
We Are Hiring Location: Tulsa, OK Facility: Ascension St. John Medical Center Department: Acute Care Schedule: Full Time - Day shift #NextGenHealthcare What You Will Do Execute personalized recovery plans by applying the…
Skills: Therapeutic Modalities, Patient Monitoring, Patient Education, Adaptive Equipment Guidance, Clinical Documentation
Tulsa, Oklahoma, United States · On-site
We Are Hiring Location: Tulsa, OKFacility: Ascension St John Medical CenterDepartment/Speciality: Progressive Care Schedule: Fulltime, Nights What You Will Do Lead Patient Care: Deliver holistic, high-quality nursing car…
Skills: Patient Care, Care Planning, Clinical Monitoring, Interdisciplinary Coordination, Discharge Planning
Tulsa, Oklahoma, United States · On-site
We Are Hiring Location: Tulsa, OK Facility: Ascension St. John Medical Center Department: Acute Care Schedule: PRN - Day shift #NextGenHealthcare What You Will Do Execute personalized recovery plans by applying therapeut…
Skills: Therapeutic Modalities, Patient Monitoring, Patient Education, Adaptive Equipment Guidance, Clinical Documentation
Tulsa, Oklahoma, United States · On-site
We Are Hiring Location: Tulsa, OKFacility: Ascension St John Medical CenterDepartment/Speciality: Progressive Care Schedule: Fulltime, Days What You Will Do Lead Patient Care: Deliver holistic, high-quality nursing care …
Skills: Patient Care, Care Planning, Clinical Monitoring, Interdisciplinary Coordination, Discharge Planning
Tulsa, Oklahoma, United States · On-site
Join our team as a day shift, full-time, Exercise Physiologist in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities, tuit…
Skills: Patient Care, Cardiac Rehabilitation, Exercise Monitoring, Patient Education, Behavior Modification
Tulsa, Oklahoma, United States · On-site
Join our team as a weekend shift, PRN, Concierge in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities and resources that …
Skills: Customer Service, Information Desk Management, Hospital Operations, Communication
Tulsa, Oklahoma, United States · On-site
Join our team as a day shift, full-time, Pharmacy Operations Manager in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities…
Skills: Pharmacy Operations Management, Pharmaceutical Care, Inventory Management, Staff Oversight, Policy And Procedure Development
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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.
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.
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:
QUALIFICATIONS:
EDUCATION/EXPERIENCE:
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
Caring for Oklahomans like no other health plan can or does.
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
There are currently 596 open healthcare positions in Tulsa, OK listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Ascension, Hillcrest HealthCare System, CommunityCare, Family & Children's Services, Oklahoma State University Medical Center, among others. Browse the listings above to see every active employer.
Yes — 28 of the 596 open healthcare positions offer remote or hybrid work (9 remote, 19 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
