Associate, Itemized Bill Reviewer (Fully Remote)

Oscar Health; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Oscar Health in the United States is seeking a skilled medical coder to review high-dollar facility itemized bills, identify billing errors and policy violations, and support accurate claim payouts. You will leverage Oscar's claim infrastructure and your coding expertise to spot issues and drive improvements.

Collaboration across teams will turn friction into actionable, data-driven optimizations for reimbursement processes.

Qualifications

• Must have current certification in medical coding.
• Experience with hospital facility billing and reimbursement workflows.
• Familiarity with data analysis to support audit findings and improvements.

Responsibilities

• Review high-dollar facility itemized bills for billing errors and policy violations.
• Ensure claims are paid accurately and timely with high quality.
• Collaborate cross-functionally to turn friction into actionable improvements.

Skills

Medical coding

Hospital billing

Data analysis

Reimbursement methodologies

Education

Certified medical coder (e.g., CPC/ CCS)

Job description

• Review high-dollar facility itemized bills for billing errors and policy violations.
• Ensure claims are paid accurately and timely with high quality.

What You'll Do:

• Leverage coding expertise and Oscar's claim infrastructure to identify issues.
• Collaborate cross-functionally to turn friction into actionable improvements.

Who You Are:

• Experienced in medical coding and hospital facility billing with a certification.
• Skilled in reimbursement methodologies and data analysis.

Oscar Health

Oscar is a health insurance company built on a full-stack technology platform with a focus on serving members. Founded in 2012, it fosters a culture of transparency and collaboration, working to change health care.