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Weekend Claims Data Entry Jobs in Oklahoma (NOW HIRING)

Guardian Pharmacy

Pharmacy Technician - Data Entry

Tulsa, OK

$16 - $19.50/hr

Maintain data entry records for cycle medication, fill requests and process cycle medication orders ... Ability to work flexible hours, including weekends, holiday and overtime. What We Offer: Guardian ...

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All JobsClaims Data Entry JobsWeekend Claims Data Entry JobsWeekend Claims Data Entry Jobs in Oklahoma

Weekend Claims Data Entry information

What is the difference between Weekend Claims Data Entry vs Weekend Claims Adjuster?

AspectWeekend Claims Data EntryWeekend Claims Adjuster
CredentialsBasic data entry skills, sometimes a high school diplomaInsurance licensing, certifications often required
Work EnvironmentOffice or remote, focused on data inputOffice-based, involves evaluating claims and making decisions
Industry UsageUsed in insurance companies for processing claims dataInvolved in assessing and settling insurance claims

Weekend Claims Data Entry primarily involves inputting claims information, requiring basic skills and minimal certifications. In contrast, Weekend Claims Adjusters evaluate and settle claims, often needing specialized insurance licenses. Both roles are common in the insurance industry but differ significantly in responsibilities and qualifications.

What are the most commonly searched types of Claims Data Entry jobs in Oklahoma?

The most popular types of Claims Data Entry jobs in Oklahoma are:

What cities in Oklahoma are hiring for Weekend Claims Data Entry jobs?

Cities in Oklahoma with the most Weekend Claims Data Entry job openings:

Weekend Claims Data Entry jobs near you

Claims HMO - Claims Examiner 140-1006

Tulsa, OK • On-site

CommunityCare
See more jobs at CommunityCareexternal

Full-time

Re-posted 4 days ago

Job description

JOB SUMMARY:
The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or adjust the claim. Examiners are expected to meet performance expectations in accuracy and efficiency.
KEY RESPONSIBILITIES:
  • Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions.
  • Identify claims requiring additional resources and route to the team lead, supervisor or other departments as needed.
  • Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials.
  • Identify and communicate trends or problems identified during adjudication process.
  • Contribute to the creation of a pleasant working environment with peers and other departments.
  • Assist in investigating and solving claims that require additional research.
  • Consistently learn and adapt to changes related to claims processing, benefits, limits and regulations.
  • Perform other job-related duties as assigned.

QUALIFICATIONS:
  • Self-motivated and able to work with minimal direction.
  • Ability to read and understand claims processing manuals, medical terminology, CPT codes, and perform basic processing procedures.
  • Ability to read and understand health benefit booklets.
  • Demonstrated learning agility.
  • Successful completion of Health Care Sanctions background check.
  • Knowledge in the contracted managed care plan terms and rates.
  • General understanding of unbundling methods, COB, and other over-billing methodologies.
  • Must have high attention to detail.
  • Proficient in Microsoft applications.
  • Ability to perform basic mathematical calculations.
  • Possess strong oral and written communication skills.

EDUCATION/EXPERIENCE:
  • High School Diploma or Equivalent required.
  • Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required.

CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin

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