Credentialing Specialist

3 hours, 16 minutes ago
Full-time
Junior
Customer and Technical Support
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Develop a strong understanding of credentialing processes, procedures, and tools.
  • Interact daily with providers and internal Oscar teams based on assignment needs.
  • Manage an assigned caseload while meeting service, productivity, and quality expectations.
  • Build working relationships with internal and external stakeholders.
  • Identify issues and support leadership through established escalation pathways.
  • Monitor and track the status of assigned work-in-progress issues.
  • Escalate and resolve issues to meet turnaround time requirements.
  • Participate in process improvement initiatives.
  • Ensure compliance with operational, regulatory, and PHI-related standards.
  • Follow all applicable laws and regulations related to the role.

Requirements

  • High school diploma or GED.
  • 1+ years of experience in a fast-paced, volume-based, or customer service-oriented environment.
  • Strong verbal and written communication skills (preferred).
  • Strong quantitative or analytical skills for proactively identifying or solving problems (preferred).
  • In-depth knowledge of health insurance (preferred).
  • Credentialing or provider-facing experience (preferred).
  • Experience accurately manipulating and entering data in a production-driven environment (preferred).
  • Advanced Google Suite or Microsoft Office skills, or willingness to learn (preferred).

Benefits

  • Base pay of $19 per hour.
  • Monthly vacation accrual at a rate of 15 days per year.
  • Eligible for medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time and paid parental leave.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Paid wellness time and reimbursements.

Interested in this position?

Apply directly on the company website

Apply Now

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