Contract Load Representative
O
OscarHealth insurance
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.Full-TimeJunior
Salary19 USD per hour
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Job Details
- Experience
- 1+ years of experience in a fast-paced healthcare environment
- Required Skills
- Microsoft OfficeAnalytical SkillsProblem SolvingGoogle WorkspaceData entry
Requirements
- Have a high school diploma or GED.
- Have at least 1 year of experience in a fast-paced healthcare environment.
- Have advanced Google Suite or Microsoft Office capabilities.
- Have experience manipulating and accurately entering data in a production-driven environment.
- In-depth knowledge of provider contracts is a plus.
- Experience configuring provider contracts is a plus.
- Strong verbal and written communication skills are a plus.
- Strong quantitative or analytical skills focused on proactively identifying or solving problems are a plus.
Responsibilities
- Review and configure executed provider contracts, amendments, W-9s, rosters, and supporting documentation for completeness, accuracy, and readiness for configuration.
- Coordinate with Network Contracting, Credentialing, Roster Operations, Rate Configuration, and leadership to resolve missing information, clarify contract intent, and manage downstream dependencies.
- Escalate incomplete documentation, contract discrepancies, duplicate records, complex interpretation questions, and system issues.
- Develop an understanding of the processes, procedures, and tools associated with the Oscar business model.
- Interact daily with internal departments through multiple channels according to assignment needs.
- Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations.
- Monitor and track the health of assigned work-in-progress issues, and escalate and resolve issues to ensure appropriate turnaround times.
- Participate in process improvement initiatives and comply with operational, regulatory, and compliance standards relating to member PHI.
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