[Hiring] Enrollment Processor @Oscar Health

Role Description

We're hiring an Enrollment Processor (Eligibility) to join our Eligibility & Billing team. The E&B Production Processor is a volume-driven customer service and production based role that handles the day-to-day activities involved in running an Eligibility and Billing department at a health insurance company.

• Report into the Associate Manager, Eligibility & Billing.
• This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories.
• Daily work is completed from your home office, with occasional travel required for team meetings and company events.

Pay Transparency:

• The base pay for this role in California, Connecticut, New Jersey, New York, and Washington is: $18.31 - $24.03 per hour.
• The base pay for this role in all other locations is: $16.48 - $21.63 per hour.
• Eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.

Responsibilities

• Develop a comprehensive understanding of the current processes, procedures, tools, and regulations associated with Oscar's enrollment and billing business model.
• Complete various enrollment and billing tasks through multiple channels according to departmental needs and assignments.
• 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

• 1+ years of experience in administrative, customer service, data-entry, operations, healthcare, or insurance work.
• High school diploma or GED.
• Comfort using computers, multiple systems, and standard office tools.
• Strong accuracy, attention to detail, and ability to follow written procedures.
• Ability to handle confidential member information appropriately.
• Clear written and verbal communication.
• Ability to manage routine, deadline-driven work and meet productivity/quality expectations.

Bonus Points

• Experience in health insurance, healthcare administration, or a regulated industry.
• Exposure to claims, eligibility/enrollment, benefits, billing, provider data, prior authorization, or member records.
• Experience working with high-volume queues.
• Familiarity with HIPAA/privacy practices and documentation standards.

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.