Credentialing Specialist
New
Arizona; Florida; Georgia; TexasFull-TimeEntry
Salary19 USD per hour
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Job Details
- Experience
- 1+ years
- Required Skills
- Customer serviceMicrosoft OfficeData entryGoogle Workspace
Requirements
- High school diploma or GED.
- 1+ years of experience in a fast-paced, volume-based or customer service-oriented environment.
- Strong verbal and written communication skills.
- Strong quantitative or analytical skills for problem solving.
- In-depth knowledge of health insurance (preferred).
- Credentialing or provider-facing experience (preferred).
- Experience with accurate data entry in a production-driven environment (preferred).
- Advanced Google Suite or Microsoft Office capabilities or willingness to learn (preferred).
Responsibilities
- Develop a comprehensive understanding of current credentialing processes, procedures, and tools.
- 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.
- Identify and escalate issues through established pathways to ensure appropriate turnaround times.
- Monitor and track the health of all assigned work-in-progress issues.
- Participate in process improvement initiatives.
- Comply with operational, regulatory, and compliance standards relating to member Personal Health Information (PHI).
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