Customer Service Representative - Healthcare

Hi, we're Oscar. We're hiring a Customer Service Representative to join our Member and Provider Services team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

This role is a volume-driven customer service and production-based role that handles the daily activities involved in running a health insurance company including customer interactions and back office tasks following standard operating procedures.

You will report into the Concierge Operations Manager.

Work Location:

This is a remote position, open to candidates who reside in Florida. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency:

The set pay rate for this role is $19.00 - $21.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

• Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model.
• Work with members, brokers, providers, and Oscar vendors through multiple channels according to assignment needs
• Manage an assigned caseload, maintaining service delivery, productivity, and quality expectations
• Form working relationships with all partners.
• Support the leadership team by identifying issues through established escalation pathways
• Monitor and track the health of all assigned work-in-progress issues.
• Escalate and resolve issues to ensure appropriate turnaround times
• Participate in process improvement projects
• 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:

• 1+ years of experience in a high-volume or customer-focused setting.
• 6+ Months of healthcare experience
• High school diploma or GED

Bonus points:

• Strong quantitative or analytical skills focused on identifying or solving problems
• Must be bilingual in Spanish and English with full professional proficiency in reading, writing, and speaking.
• Experience manipulating and entering accurate data
• Advanced Google Suite or Microsoft Office capabilities