Customer Service Representative - Healthcare

Oscar Health
Florida, FL
RemoteCareer-pivot friendly

Who this role is best for

Best suited to candidates with healthcare experience and strong communication skills working in a remote setting.

Best fit for

  • Candidates with healthcare experience and a remote work setup preference
    — “This is a remote position, open to candidates who reside in Florida.”
  • Individuals who can manage caseloads while maintaining quality and productivity
    — “Manage an assigned caseload, maintaining service delivery, productivity, and quality expectations”
  • Those who thrive in a structured environment with standard operating procedures
    — “handles the daily activities involved in running a health insurance company including customer interactions and back office tasks following standard operating procedures”

Things to consider

  • Occasional travel may be required for team meetings and company events despite the remote setup
    — “occasional travel may be required for team meetings and company events”
  • Compliance with healthcare regulations is a non-negotiable requirement
    — “Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)”

How to stand out

  • Highlight experience with high-volume customer service and data entry accuracy
    — “Experience manipulating and entering accurate data”
  • Emphasize your ability to identify and escalate issues effectively
    — “Support the leadership team by identifying issues through established escalation pathways”
  • Demonstrate knowledge of healthcare processes and tools in your resume
    — “Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model”
Pace · SteadyCollaboration · MediumAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • develop comprehensive understanding of Oscar's business model
  • manage an assigned caseload
  • escalate and resolve issues
Typical background
customer servicehealthcare

Skills & requirements

Required

Customer ServiceHealthcare ExperienceAttention To DetailProblem-solving

Preferred

Bilingual (spanish And English)Data EntryAdvanced Google Suite Or Microsoft Office Capabilities

Stack & domain

Customer ServiceBack Office TasksProcess Improvement ProjectsData EntryGoogle SuiteMicrosoft OfficeCommunicationTeamworkProblem-solvingLeadershipHealthcare

About the role

Original posting from Oscar Health via Greenhouse

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

This is an authentic Oscar Health job opportunity.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

Source: Oscar Health careers (Greenhouse)

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