Member & Provider Care Specialist

1 hour, 49 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

  • Handle inbound and outbound calls, secure messages, and email communications with members or providers.
  • Manage queue work and assigned caseloads through efficient dashboard management.
  • Identify, investigate, and resolve issues within required service-level agreements.
  • Collaborate with colleagues, Experts, and Leads to identify trends and roadblocks.
  • Use internal tools and resources to support case resolution and daily work.
  • Communicate findings and resolutions to providers and internal departments.
  • Support Member and Provider Services Representatives with complex issues, workflows, and training.
  • Escalate updates or incorrect information in the internal knowledge management system.
  • Partner with production teams across the LifeCycles to improve the member and provider experience.
  • Comply with all applicable laws and regulations.

Requirements

  • 1+ years of experience in customer support, healthcare, tech, or a related field.
  • 6+ months of member and customer service experience.
  • 1+ year of escalations experience in a customer service environment.
  • Experience working in a fast-paced environment.
  • Must reside in Arizona, Florida, Georgia, or Texas for this remote role.
  • High school diploma or GED is preferred.
  • Bachelor's degree is preferred.
  • 1+ years of claims experience is preferred.
  • Bilingual Spanish is preferred.

Benefits

  • $22.00 per hour set rate.
  • Eligible for employee benefits.
  • Monthly vacation accrual at 15 days per year.
  • Medical, dental, and vision insurance.
  • 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

Similar Roles

Manager, Customer Support

Versaterm 51-250 Internet Software & Services

Versaterm is seeking a Manager, Customer Support to lead a team delivering Tier 1 and Tier 2 support for public safety software solutions while balancing operational excellence, customer enablement, and escalations.

SQL
19 minutes ago

Spanish Bilingual Certified Pharmacy Technician - Refill & Medication Adherence

Shields Health Solutions 1K-5K Health Care Providers & Services

Shields Health Solutions is hiring a remote Bilingual (Spanish) Patient Engagement Specialist to support patients throughout the medication refill process and improve access, adherence, and outcomes through compassionate pharmacy coordination.

HIPAA
34 minutes ago

Customer Delivery Driver

Carvana 10K-50K Automotive

Carvana is hiring Customer Advocates to deliver vehicles, support customers, and handle required paperwork as part of its car-buying and market operations experience.

49 minutes ago

Senior Manager, Customer Support

Versaterm 51-250 Internet Software & Services

Versaterm is seeking a Senior Manager, Customer Support to lead integrated technical and customer support teams for public safety software and drive service transformation, customer relationships, and operational performance.

Machine Learning
1 hour, 4 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers