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 on time while supporting continual improvement of internal processes. The role leverages deep knowledge of claims infrastructure, coding standards, and reimbursement policies and works cross-functionally to translate stakeholder friction into actionable improvements. The position reports to the Manager, Payment Integrity (Pre-Pay) and operates within Oscar’s Payment Integrity team.
Required Skills
- Bill Review
- Billing Errors
- Contract Comparison
- Medical Coding
- Claims Review
- Documentation
- Audit Processes
- Subject Expert
- Reimbursement Policy
- Data Analysis
+7 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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