Member & Provider Care Specialist
New
O
OscarHealth insurance
This is a remote role. You must reside in Arizona, Florida, Georgia, or Texas.Full-TimeJunior
Salary22 USD per hour
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Job Details
- Languages
- Bilingual Spanish (bonus point).
- Experience
- 1+ years in customer support, healthcare, tech and/or related field; 6 + months of member and customer service experience; 1+ year of escalations experience in a customer service environment. Bonus: 1 + years of claims experience.
- Required Skills
- Customer serviceCustomer support
Requirements
- Have at least 1 year of experience in customer support, healthcare, tech, or a related field.
- Have experience working in a fast-paced environment.
- Have at least 6 months of member and customer service experience.
- Have at least 1 year of escalations experience in a customer service environment.
- Bonus: Have at least 1 year of claims experience.
- Bonus: Be bilingual in Spanish.
Responsibilities
- Handle inbound and outbound calls, secure messages, and email communications with members or providers.
- Manage queue work and assigned caseloads through dashboard management.
- Identify, investigate, and resolve issues within determined SLAs.
- Collaborate with colleagues, Experts, and Leads to identify trends and roadblocks.
- Use internal tools and resources.
- Communicate findings and resolutions to providers and internal departments.
- Support Member and Provider Services Representatives with complex issues, workflows, and training.
- Escalate updates or incorrect information in the internal knowledge management system for Member and Provider Services.
- Partner with production teams across the LifeCycles to improve the member and provider experience.
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