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Trouvez des postes près de chez vous, sur site, hybrides ou à distance.- Emplois similaires à : Insurance Credentialing Supervisor
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Credentialing Specialist
- New York, New York, United States
- New York, New York, United States
À propos
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
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
Compétences linguistiques
- English
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