Top 32 Claims coordinator Jobs in Oklahoma

Complaint Appeals, Senior Coordinator - Fully Remote
CVS Health —Oklahoma
- $18.50 - $38.82 an hour
- Weekends as needed
- Remote
- Research
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
2d
Professional Denials Coordinator
Oklahoma Heart Hospital —Oklahoma City, OK
- Full-time
- Hospital
- Research
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Client Coordinator
Abel Law Firm —Oklahoma City, OK
- Full-time
- Entry level
- Time management
Quick Apply
Patient Services Coordinator II
The State of Oklahoma —Sequoyah County, OK
- $21.51 an hour
- Full-time
- Writing skills
- Mid-level
- 3 years
- Paid holidays
7d
Coordinator Collections
Norman Regional Health System —Norman, OK
- $14.86 - $24.27 an hour
- Full-time
- Research
- High school diploma or GED
- Entry level
- Free parking
- Paid holidays
HR BENEFITS COORDINATOR
JASCO PRODUCTS COMPANY LLC —Oklahoma City, OK
- Microsoft Word
- Microsoft Outlook
- Basic math
- Health insurance
- 401(k)
7d
EHS Coordinator II
MIRATECH Corporation —Tulsa, OK
- Full-time
- Computer literacy
- Mid-level
- 3 years
- Disability insurance
- Dental insurance
Quick Apply
Career Coordinator
The State of Oklahoma —Woodward County, OK
- $19.69 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
6d
Benefits Coordinator, Senior
Helmerich & Payne, Inc. —Tulsa, OK
- Full-time
- 5 years
- HIPAA
- Office
- Health savings account
- Disability insurance
4h
Treatment Coordinator
918 Dentist —Glenpool, OK
- Dental office
- Inventory management
- Mid-level
Housing Coordinator
Oklahoma Christian University —Edmond, OK
- Weekends as needed
- Google Workspace
- Residential
- Administrative experience
- Paid holidays
- Disability insurance
Quick Apply
8d
Patient Care Coordinator
Optimum Dental of Newcastle —Newcastle, OK
- $18 - $26 an hour
- Full-time
- Background check
- Spanish
- Dental office
- Paid holidays
- Health insurance
Quick Apply
Environmental Health and Safety Coordinator
Maverick Tech —Catoosa, OK
- $29.69 - $44.96 an hour
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
Quick Apply
13d
Benefits Coordinator
Triad Eye Institute —Tulsa, OK
- From $17 an hour
- Full-time
- Medical office experience
- High school diploma or GED
- Clinic
- Paid jury duty
- Disability insurance
Quick Apply
7d
Specialty Account Coordinator - Orthopedics NW 50th
Mercy —Oklahoma City, OK
- Full-time
- Mid-level
- 3 years
- Finance
- Health insurance
- Dental insurance
3d
Training Coordinator | Warranty
Climate Control Group —Oklahoma City, OK
- $70,000 - $80,000 a year
- Full-time
- Writing skills
- Mid-level
- 3 years
- Health savings account
- Health insurance
Quick Apply
1d
Safety Coordinator I
UFP Industries, Inc. —Shawnee, OK
- Full-time
- Microsoft Outlook
- Inventory management
- Computer literacy
2d
Patient Care Coordinator
Miracle Ear —Norman, OK
- $15 an hour
- Full-time
- Administrative experience
- Clinic
- In-person
- Health savings account
- Health insurance
Quick Apply
3d
Dental Office Check-In/ Patient Coordinator
Custom Dental —Newcastle, OK
- $19 - $25 an hour
- Full-time
- Dental office
- No experience needed
- Communication skills
Quick Apply
15h
Human Resources Coordinator
Baptist Village of Owasso —Owasso, OK
- Full-time
- Background check
- OSHA
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
3d

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Complaint Appeals, Senior Coordinator - Fully Remote

CVS Health -
Oklahoma

Apply Now

Job Details

Full-time
$18.50 - $38.82 an hour
2 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Research
Legal compliance

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

This position is available nationwide, as it is a fully remote position.

Position Summary

Provide support to the Supervisors by coaching, mentoring and training new staff. Oversight over inventory.

Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals.
Identify trends and emerging issues and report and recommend solutions. Independently coaches others on appeals ensuring compliance with Federal and/or State regulations.
Manage control and trend inventory, independently investigate, adapts to changes or revise policy to resolve the most escalated cases coming from internal and external constituents for all products.
Responsible for serving as the point of contact for the appeal if there is an inquiry from leadership, compliance and State regulators. Understand and adapt to departmental process and policies.
Medicare knowledge is a plus. Fast Turn Around of inventory, collaboration with clinical team and management. Attention to detail is needed and must be able to maintain compliance turn-around times, with accurate case resolution or research.
Remain a part of the solution by escalating issues that may impact compliance timeliness. -Additional duties as assigned which will include a carrying a modified case load including but not limited to
Serves as a content model expert and mentor to team regarding Aetna's policies and procedures, regulatory and accreditation requirements.
Ensures work of team meets federal and state requirements and quality measures, with respect to letter content and turn-around time for appeals, complaints and grievances handling.
Independently researches and translates policy and procedures into intelligent and logically written responses for Executive or Senior leaders on escalated cases.
Successfully works across functions, segments, and teams to create, populate, and trend reports to find resolution to escalated cases.
Identify potential risks and cost implications to avoid incorrect or inaccurate responses and/or decisions which may result in additional rework, confusion to the constituents, or legal ramifications.
Additional duties as assigned which will include a carrying a modified case load including but not limited to:
Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
Research Standard Plan Design or Certification of Coverage (Evidence of Coverage) relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Research claim processing logic to verify accuracy of claim payment, member eligibility data, billing/payment status, prior to initiation of appeal process.
Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
Research Standard Plan Design or Certification of Coverage relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Identify and research all components within member or provider/practitioner appeals.

Required Qualifications

2-4 years of experience in a Customer Service role.
2-4 years of Medicare and/or Medicaid knowledge.
At least 2-4 years of experience that includes but is not limited to clinical and claim platforms, benefits and services. In addition; Compliance and regulatory knowledge; provider relations and customer service.
Experience in reading or researching benefit language.
Ability to work in fast paced environment.
Excellent verbal and written communication skills.
Excellent organizational skills to handle high inventory which aids in meeting or exceeding metrics.
Solution driven and can handle complex issues with accuracy.
Availability to work alternating weekends for oversight of analysts on alternate schedule.

Preferred Qualifications

Audit experience
Critical thinking experience.
Ability to work complex issues
Team Player
Exhibit How We Work Behaviors
Solution Driven

Education

High School Diploma or GED required or 2-4 years of equivalent work experience

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

claims coordinator jobs in oklahoma

Complaint Appeals, Senior Coordinator - Fully Remote

Professional Denials Coordinator

Client Coordinator

Patient Services Coordinator II

Coordinator Collections

HR BENEFITS COORDINATOR

EHS Coordinator II

Career Coordinator

Benefits Coordinator, Senior

Treatment Coordinator

Housing Coordinator

Patient Care Coordinator

Environmental Health and Safety Coordinator

Benefits Coordinator

Specialty Account Coordinator - Orthopedics NW 50th

Training Coordinator | Warranty

Safety Coordinator I

Patient Care Coordinator

Dental Office Check-In/ Patient Coordinator

Human Resources Coordinator

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