Credentialing Specialist
New
O
Oscar HealthHealth Insurance
Remote position, open to candidates who reside in: Arizona; Florida; Georgia; TexasFull-TimeEntry
Salary19 USD per hour
Apply NowOpens the employer's application page
Job Details
- Experience
- 1+ years
- Required Skills
- Analytical SkillsData entry
Requirements
- High school diploma or GED.
- 1+ years of experience in a fast-paced, volume-based or customer service-oriented environment.
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.
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