Customer Service Representative - Healthcare

Oscar Health
Georgia, GA
RemoteCareer-pivot friendly

Who this role is best for

Healthcare professionals with customer service experience and bilingual capabilities in Spanish and English will find this remote customer service role with process improvement opportunities.

Best fit for

  • Individuals with healthcare experience and a background in high-volume customer service environments
    — “1+ years of experience in a high-volume or customer-focused setting.”
  • Candidates who are fluent in both Spanish and English and can build rapport with members and providers
    — “Must be bilingual in Spanish and English with full professional proficiency in reading, writing, and speaking.”
  • People who enjoy working with technology platforms and have an interest in healthcare insurance operations
    — “Oscar is the first health insurance company built around a full stack technology platform.”

Things to consider

  • The role may require occasional travel for team meetings and company events despite being remote
    — “occasional travel may be required for team meetings and company events.”
  • Candidates must be eligible for benefits and be prepared for a full-time work arrangement
    — “Full-time employees are eligible for benefits including: medical, dental, and vision benefits”

How to stand out

  • Highlight experience with data entry and manipulation in your resume and interview responses
    — “Experience manipulating and entering accurate data”
  • Demonstrate your ability to identify issues and escalate them through proper channels
    — “Support the leadership team by identifying issues through established escalation pathways”
  • Showcase your understanding of healthcare compliance and PHI handling in your application materials
    — “Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)”
  • Emphasize your proficiency in advanced Google Suite or Microsoft Office tools
    — “Advanced Google Suite or Microsoft Office capabilities”
Pace · Fast PacedCollaboration · HighAutonomy · MediumDecision Impact · Team

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

What success looks like

  • managing caseloads
  • escalating issues
  • participating in process improvement
Typical background
customer servicehealthcare

Skills & requirements

Required

Customer ServiceHealthcare ExperienceProblem-solving

Preferred

Quantitative AnalysisProcess Improvement

Stack & domain

Customer ServiceHealthcareData EntryGoogle SuiteMicrosoft OfficeCommunicationProblem-solvingTeamwork

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 Georgia. 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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