Enrollment Processor (Eligibility)

Oscar Health•Remote, AZ

1d•$16 - $24•Remote

About The Position

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 focused on completing back office tasks and addressing member questions in accordance with standard operating procedures. You will report into the Associate Manager, Eligibility & Billing.

Requirements

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

Nice To Haves

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

Responsibilities

Develop a comprehensive understanding of the current processes, procedures, tools, and regulations associated with the 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