Credentialing Specialist

Hi, we're Oscar. We're hiring a Credentialing Specialist to join our Provider Credentialing team. 

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.

About the role:

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 

Requirements:

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

Bonus points:

• 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