Top 75 Claims manager Jobs in Tulsa Ok

CHS Claims & Payment Manager - CHS - Okmulgee
Muscogee Creek Nation —Tulsa, OK
- Management
- Customer service
- Writing skills
12h
Onsite Safety Manager (Construction)
Metro Tech Electric —Tulsa, OK
- From $85,000 a year
- Weekends as needed
- Construction site
- Bachelor of Science
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
Territory Manager
PeopleReady —Tulsa, OK
- $62,673 - $75,207 a year
- Weekends as needed
- Background check
- Microsoft Outlook
- Mid-level
- Employee stock purchase plan
- Paid holidays
Quick Apply
Regional Account Manager (Commercial Roofing)
Roofing Talent America —Tulsa, OK
- $50,000 a year
- Email
- Senior level
- Leadership
- Commercial
- Dental insurance
- Paid time off
Quick Apply
Manager, Editor, Government and Public Services (GPS)
Deloitte —Tulsa, OK
- $88,600 - $163,100 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- English
Account Manager
Gallagher —Tulsa, OK
- Full-time
- Mid-level
- 8 years
- High school diploma or GED
- Paid parental leave
- Health savings account
Sr Manager, Total Rewards - US Benefits
Helmerich & Payne, Inc. —Tulsa, OK
- Full-time
- 7 years
- HIPAA
- Office
- Health savings account
- Disability insurance
1d
Sr Manager, Life & Annuities Claims
1208 FSG - Cybertek Corp. —Tulsa, OK
- Full-time
- PMP
- 3 years
- Finance
2d
Risk Manager
Ascension —Tulsa, OK
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
OGC | Manager - Legal Administration
Deloitte —Tulsa, OK
- $93,000 - $191,000 a year
- Full-time
- Microsoft Word
- 5 years
- Office
Logistics Manager
Hayden Industrial, LLC —Tulsa, OK
- Weekends as needed
- Customer service
- 5 years
- ERP systems
- Health savings account
- Health insurance
Manager, Delivery Manager
Deloitte —Tulsa, OK
- $107,200 - $221,200 a year
- Full-time
- Travel
- Conflict management
- Senior level
2d
Operations Manager - Property Charges
CompuLink —Tulsa, OK
- $101,000 - $127,000 a year
- Full-time
- Microsoft Word
- Microsoft Outlook
- 5 years
- Health savings account
- Paid holidays
Quick Apply
Senior Account Manager (Fully Remote)
Insurance Office of America, Inc. —Tulsa, OK
- $80,000 - $100,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply
Sr Manager, Lead Delivery Leader
Deloitte —Tulsa, OK
- $124,600 - $255,900 a year
- Full-time
- 11+ years
- Travel
- Conflict management
2d
Account Manager - State Farm Agent Team Member
Todd Brown - State Farm Agent —Broken Arrow, OK
- Full-time
- Office
- Communication skills
- Entry level
- Paid holidays
- Health insurance
Quick Apply
Shipping Supervisor
Emerson —Tulsa, OK
- Full-time
- Oracle
- Mid-level
- 3 years
- Paid parental leave
- Health insurance
Commercial Insurance Account Manager - Trucking
Insurance Office of America, Inc. —Tulsa, OK
- $70,000 - $90,000 a year
- Full-time
- Microsoft Outlook
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
EHS Manager
Valmont Industries —Tulsa, OK
- Full-time
- Microsoft Outlook
- Bachelor of Science
- Data entry
- Disability insurance
- Health insurance
13d
Senior Account Manager - Commercial Lines
Insurance Office of America, Inc. —Tulsa, OK
- $80,000 - $100,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply

I want to receive the latest job alert for claims manager in tulsa ok

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

CHS Claims & Payment Manager - CHS - Okmulgee

Muscogee Creek Nation -
Tulsa, OK

Apply Now

Job Details

12 hours ago

Qualifications

Computer operation
Customer communication
Staff supervision
Management
Healthcare staff management
Medicare
Utilization review
Managed care
Team supervision
Regulatory compliance in claims processing
HIPAA
Windows
Medicaid health insurance
ICD-10
Electronic health record (EHR) management for billing and coding
Desktop applications
Health information regulatory compliance
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical explanation of benefits reviews
Medicaid regulations
Medicaid
Patient interaction
Productivity software
Clinical confidentiality policies

Full Job Description

MINIMUM QUALIFICATIONS

Education – Bachelor’s Degree in Business Administration or related field is preferred but not required.

Experience – One (1) year of experience in benefits administration, medical billing or related field. Experience gained through working in a tribal setting is preferred.

Licenses & Certification -

Knowledge & Skills –

Knowledge of all aspects of Contract Health Services in a tribal PL 93-638 environment. Knowledge of IHS and MNHS policies and procedures related to CHS.

Knowledge of Managed Care guidelines, Medicare/Medicaid regulations and guidelines, third party billing, utilization review, Rural Health certification process, etc. related to CHS.

Knowledge of the Privacy Act and other related regulations with regards to confidentiality and the release of medical information.

Ability to communicate and interact effectively with patients and their families, staff members, other MCNDH employees, tribal officials and the public both orally and in writing.

Knowledge of ICD-10-CM coding, APG coding and in the EPIC system.

Ability to supervise subordinate staff members and provide guidance and assistance to other staff members not directly under the incumbent’s span of control in a professional manner.

Knowledge and skill to utilize a PC in a Windows environment and to operate other necessary office equipment.

Ability to deal with unruly patients and their family members under trying circumstances.

JOB PURPOSE

The purpose of the position is to provide supervision of claims and payments through Contract Health Services. Incumbent provides supervision to the Claims Support Specialists performance of duties. It also has responsibility in conjunction with the coordination of the staff within Muscogee (Creek) Nation Department of Health.

Provides supervision of claims accounts. Provides support to supporting staff. This position will also interact with the public both internal and external and good communication skills are a must.

JOB DUTIES

Provides strong/broad understanding of claims analyst process.

Responsible for promoting quality, superior customer service.

Identifying enhancements and changes to workflow to increase effectiveness and productivity.

Knowledge of third-party billing systems, general medical terminology used in the referral process and payment process.

Must be able to make comprehensible decisions, multi-task and prioritize tasks and meet deadlines.

Conducts training for staff.

Ensures and maintains department quality and turnaround standards.

Organizing and documenting workflow and processes.

Analyzes and verifies patient referral information and any third-party billing resources, checking internal systems and third-party systems for eligibility e.g. Oklahoma Healthcare Website, Medicare, Private Insurance, etc.

Gathers and analyzes information from internal systems that includes medical systems for electronic health records and EPIC Contract Health System.

Protects organizations value by keeping information confidential and abiding by the HIPPA and Privacy act guidelines maintain strict confidentiality regarding medical information and release of that information.

Ensures claim payments enter accurately, and documents support the payments by inputting data and verifying claims to maintain accuracy of payments and obtains supplementary information for preparing payments such as Explanation of Benefits (EOB), ensuring third-party and alternate resources has been applied before payment is rendered.

Ensure compliance of all claims in accordance with the CHS Department and workflow.

Answers accounting and financial questions by researching and interpreting data and has good oral and written communication skills for communicating with third-party vendors, hospitals, providers, and patients and their families.

Updates job knowledge by participating in educational opportunities; reading professional publications; participating in professional organizations.

Accomplishes accounting and organization mission by completing related results as needed.

SKILLS/QUALIFICTIONS

Basic Accounting Principles, HIPPA Privacy Act Knowledge, Reporting Skills, Deadline-Oriented, Time Management, Attention to Detail, Confidentiality, PC Proficiency (MS Office Suite of Products), Productivity, Verbal Communication, General Math Skills.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

claims manager jobs in tulsa ok

CHS Claims & Payment Manager - CHS - Okmulgee

Onsite Safety Manager (Construction)

Territory Manager

Regional Account Manager (Commercial Roofing)

Manager, Editor, Government and Public Services (GPS)

Account Manager

Sr Manager, Total Rewards - US Benefits

Sr Manager, Life & Annuities Claims

Risk Manager

OGC | Manager - Legal Administration

Logistics Manager

Manager, Delivery Manager

Operations Manager - Property Charges

Senior Account Manager (Fully Remote)

Sr Manager, Lead Delivery Leader

Account Manager - State Farm Agent Team Member

Shipping Supervisor

Commercial Insurance Account Manager - Trucking

EHS Manager

Senior Account Manager - Commercial Lines

I want to receive the latest job alert for claims manager in tulsa ok

Related Searches

Explore jobs in more locations

MINIMUM QUALIFICATIONS

JOB PURPOSE

JOB DUTIES

SKILLS/QUALIFICTIONS

Job Seeker Tools

Employer Tools

Browse

Stay Connected