Associate, Payment Integrity, IBR
Oscar Health(1 month ago)
About this role
The Associate, Payment Integrity — Itemized Bill Review is a mid-level role on Oscar's Payment Integrity team focused on ensuring claims are paid accurately and timely by applying billing and coding expertise. The position involves working with Oscar's claim systems and cross-functional partners to translate stakeholder friction into durable improvements. The role reports to the Manager, Payment Integrity (Pre-Pay) and is based in Tempe, AZ with a hybrid schedule.
Required Skills
- Itemized Review
- Billing Audit
- Coding Validation
- Contract Comparison
- Claims Analysis
- Documentation
- Process Improvement
- Stakeholder Communication
- Data Analysis
- Policy Recommendations
+3 more
Qualifications
- Bachelor's Degree
- AAPC Certification (CPC, COC)
- AHIMA Certification (CCS, RHIT, RHIA)
About Oscar Health
hioscar.comOscar Health is a technology-driven health insurance company offering individual, family, and Medicare plans in select U.S. markets. It pairs insurance coverage with consumer-focused digital tools — a mobile app, telemedicine, and dedicated care teams — to simplify enrollment, care navigation, and claims management. Using data and provider partnerships, Oscar emphasizes preventive care, personalized support, and greater cost transparency for members.
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