[Hiring] Claims Processor @Oscar Health

Role Description

You will process incoming work associated with Claims operations following standard operating procedures.

You will report to the Claims Production Team Lead.

Work Location:

• This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.
• While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency:

• The base pay for this role is: $19.00 per hour.
• You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities

• Develop an excellent grasp of the Administrative Operations system and overall workflows.
• Develop a comprehensive understanding of the current review processes that exist and additional processes needed to improve consistency and quality of review.
• Contribute to the reduction of the daily inventory.
• Form relationships with all partners.
• Take ownership of monitoring, tracking, and providing a status on the health of all work-in-progress issues.
• Manage the escalation and resolution process with external vendors to ensure appropriate turnaround times (where applicable).
• Contribute to team-wide goals that support the success of Claims Productions daily operations.
• Compliance with all applicable laws and regulations.
• Other responsibilities as assigned.

Qualifications

• 1+ years previous work experience in claims processing.
• 1+ years quantitative analysis skills demonstrated through the use of Excel or Google Sheets.

Bonus Points

• A bachelor’s degree in Business, Accounting, Finance, Economics, Healthcare, Public Policy, Technology or Math.
• In-depth knowledge of general Insurance or Health Insurance operations processing protocols and payment schemes.
• Experience manipulating and entering accurate data in a production environment.
• Experience handling Personal Health Information (PHI).
• Ability to balance competing priorities and continue to accomplish projects.

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.