[Hiring] Claims Processor @Oscar Health

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. 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. Apply tot his job Apply To this Job