Associate, Payment Integrity, IBR
Oscar Health(1 month ago)
About this role
The Associate, Payment Integrity (Itemized Bill Review) at Oscar executes payment integrity solutions to ensure claims are paid accurately and timely by leveraging expertise in billing and coding. The role requires deep knowledge of claim infrastructure, workflows, and reimbursement policies and involves translating stakeholder friction into actionable improvements. This position reports to the Manager, Payment Integrity (Pre-Pay) and is part of Oscar's Payment Integrity team.
Required Skills
- Itemized Bill Review
- Billing
- Coding
- Claim Review
- Audit
- Documentation
- Reimbursement
- Contract Review
- Data Analysis
- SQL
+6 more
Qualifications
- Bachelor's Degree
- CPC
- COC
- 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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