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About the Role
The Credentialing Specialist is a production-based role that handles the day-to-day activities involved in running a health insurance company, including provider interactions and back-office credentialing tasks in accordance with standard operating procedures. You will report into the Manager, Provider Credentialing.
Responsibilities
- Develop a comprehensive understanding of the current processes, procedures, and tools associated with credentialing.
- Interact daily with providers or internal Oscar teams according to assignment needs.
- Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations.
- Form working relationships with internal and external stakeholders.
- Support the leadership team by identifying issues through established escalation pathways.
- Be accountable for monitoring and tracking the health of all assigned work-in-progress issues.
- Escalate and resolve issues to ensure appropriate turnaround times.
- Be an active participant in process improvement initiatives.
- Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI).
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
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.
- Strong quantitative or analytical skills focused on proactively identifying or solving problems.
- In-depth knowledge of health insurance.
- Credentialing or provider facing experience.
- Experience manipulating and entering accurate data in a production driven environment.
- Advanced Google Suite or Microsoft Office capabilities or willingness to learn.
Location
- Arizona
- Florida
- Georgia
- Texas
Work Type
- Remote
- Full-time
Experience Level
- 1+ years
Education Level
- High school diploma or GED
Salary/Compensations
- $19 per hour
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Life insurance
- Disability insurance
- Paid wellness time and reimbursements
- Monthly vacation accrual at a rate of 15 days per year
About the Company
- Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
Equal Opportunity
- At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
- Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation.
- For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.