Claims Adjudication Specialist
Job in
Tulsa, Tulsa County, Oklahoma, 74145, USA
Listed on 2026-07-25
Listing for:
CommunityCare HMO, Inc.
Full Time
position Listed on 2026-07-25
Job specializations:
-
Healthcare
Healthcare Administration, Medical Billing and Coding
Job Description & How to Apply Below
Community Care HMO, Inc. is seeking a Claims Examiner to review and adjudicate claims prior to payment. The role focuses on accuracy, decision-making, and efficient processing to determine payments, denials, or adjustments.
Responsibilities include identifying claims needing escalation, using processing software, and communicating trends found during adjudication. A strong eye for detail and familiarity with health care terminology are essential.
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