[Hiring] Credentialing Specialist @Oscar Health

Role Description

Hi, we're Oscar. We're hiring a Credentialing Specialist to join our Provider Credentialing team. The Credentialing Specialist is a volume-driven production based role that handles the day-to-day activities involved in running a health insurance company including provider interactions as well as back office credentialing tasks in accordance with standard operating procedures. You will report into the Manager, Provider Credentialing.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Texas. #LI-Remote

Pay Transparency: The base pay for this role is $19 per hour. You are also eligible for employee benefits, and monthly vacation accrual at a rate of 15 days per year.

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.

Qualifications

• High school diploma or GED.
• 1+ years of experience in a fast-paced, volume-based or customer service-oriented environment.

Requirements

• 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.

Benefits

• Medical, dental, and vision benefits.
• 11 paid holidays.
• Paid sick time.
• Paid parental leave.
• 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.