- BrightSpring Health Services (Oklahoma City, OK)
- …of patients nationwide through our growing network of branches and healthcare professionals. The Adjudication Specialistwill be responsible for all aspects of ... pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims...Pharmacy + 1+ years pharmacy experience + Pharmacy or healthcare -related knowledge + Knowledge of pharmacy terminology including sig… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- **Overview** **Job Summary:** The Revenue Cycle Management Specialist is to support the process of the company's billing function. **Responsibilities** **Job ... third party payersandobtainauthorizations as + Assist inthe preparationand submissionof claims for paymentfromthird party payers,andinvoices forpatientco-payments. + Support theresolutionofbilling… more
- Centene Corporation (Oklahoma City, OK)
- …in managed care environment, medical provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care, managed ... up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting… more
- Option Care Health (Oklahoma City, OK)
- …and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- Intermountain Health (Oklahoma City, OK)
- …requirement) Required: + Active Registered Nurse License Preferred: + Certified Healthcare Access Associate (CHAA) EXPERIENCE Required: + Licensed Registered Nurse + ... payment denials related to no authorization + General coding, billing, and claims processing knowledge **Physical Requirements:** Ongoing need for employee to see… more
- HealthEdge Software Inc (Oklahoma City, OK)
- …combination with a bachelor's degree. + Minimum of 3 years of experience in healthcare payment integrity, content & policy, contracts, claims processing, or a ... **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and...play a key role in building and implementing proprietary healthcare edits that drive cost savings and accuracy in… more
- CVS Health (Oklahoma City, OK)
- …more personal, convenient and affordable. **Position Summary** It's a new day in healthcare ! Combining CVS Health and Aetna was a ground-breaking moment for our ... and overall product strategy, serving as product and market specialist + Prioritizing which new features in the backlog...products and systems. + 5+ years' experience working with healthcare analytics products and systems + 3+ years' experience… more
- Prime Therapeutics (Oklahoma City, OK)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting to the ... in the market. **Responsibilities** + Serve as a line of business specialist responsible for managing client relationships within assigned health plan/s; effectively… more