Oscar
51 - 200 employees
🎯 Recruiter
🏢 Enterprise
💰 $140M Private Equity Round on 2020-12
Recruitment • Enterprise
Oscar is a world-class specialist STEM recruitment agency that provides industry-leading talent solutions. The company operates across six brands, connecting top talent with companies in various sectors including technology, construction, life sciences, and renewable energy. With offices across the globe, Oscar is recognized as a top-five company to work for and is committed to delivering excellence in staffing services.
Senior Analyst, Payment Integrity Disputes
Job not on LinkedIn
🕒 March 30
🌽 Illinois, Kentucky, +4 more states – Remote
💵 $64.8k - $85.1k / year
⏰ Full Time
🟠 Senior
🧐 Analyst
🦅 H1B Visa Sponsor
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Oscar
51 - 200 employees
🎯 Recruiter
🏢 Enterprise
💰 $140M Private Equity Round on 2020-12
Recruitment • Enterprise
Oscar is a world-class specialist STEM recruitment agency that provides industry-leading talent solutions. The company operates across six brands, connecting top talent with companies in various sectors including technology, construction, life sciences, and renewable energy. With offices across the globe, Oscar is recognized as a top-five company to work for and is committed to delivering excellence in staffing services.
📋 Description
• Support payment integrity disputes and issue resolution in the Oscar claim environment • Scope, triage, investigate and execute on solutions and process improvements • Leverage understanding of Oscar's claim infrastructure and workflows to identify opportunities for improvement • Report into the Manager, Payment Integrity (Pre-Pay)
🎯 Requirements
• Experience in Payment Integrity focused on Disputes and/or appeals • 4+ years of experience in claims processing, coding, auditing or health care operations • 3+ years experience in medical coding • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA) • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices. • 2+ years experience deriving business insights from datasets and solving problems • 1+ years experience improving business workflows and processes • 1+ years experience collaborating with internal and external stakeholders
🏖️ Benefits
• Employee benefits • Participation in Oscar's unlimited vacation program • Annual performance bonuses
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