<p>Hi, we're Oscar. We're hiring an Enrollment Processor (Eligibility) to join our Eligibility & Billing team.</p> <p>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.</p> <p><strong>About the role:</strong></p> <p>The E&B Production Processor is a volume-driven customer service and production based role that handles the day-to-day activities involved in running an Eligibility and Billing department at a health insurance company focused on completing back office tasks and addressing member questions in accordance with standard operating procedures.</p> <p>You will report into the Associate Manager, Eligibility & Billing.</p> <p> </p> <p><strong>Work Location:</strong> This position is fully remote and open to candidates residing in the U.S., <strong>excluding</strong> Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote</p> <p><strong>Pay Transparency: </strong>The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $18.31 - $24.03 per hour. The base pay for this role in all other locations is: $16.48 - $21.63 per hour. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.</p> <p><strong>Responsibilities:</strong></p> <ul> <li>Develop a comprehensive understanding of the current processes, procedures, tools, and regulations associated with the Oscar's enrollment and billing business model.</li> <li>Complete various enrollment and billing tasks through multiple channels according to departmental needs and assignments.</li> <li>Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations</li> <li>Form working relationships with internal and external stakeholders.</li> <li>Support the leadership team by identifying issues through established escalation pathways</li> <li>Be accountable for monitoring and tracking the health of all assigned work-in-progress issues.</li> <li>Escalate and resolve issues to ensure appropriate turnaround times</li> <li>Be an active participant in process improvement initiatives</li> <li>Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)</li> <li>Compliance with all applicable laws and regulations</li> <li>Other duties as assigned</li> </ul> <p><strong>Requirements:</strong></p> <ul> <li>1+ years of experience in administrative, customer service, data-entry, operations, healthcare, or insurance work</li> <li>High school diploma or GED</li> <li>Comfort using computers, multiple systems, and standard office tools</li> <li>Strong accuracy, attention to detail, and ability to follow written procedures</li> <li>Ability to handle confidential member information appropriately</li> <li>Clear written and verbal communication</li> <li>Ability to manage routine, deadline-driven work and meet productivity/quality expectations</li> </ul> <p><strong>Bonus points:</strong></p> <ul> <li>Experience in health insurance, healthcare administration, or a regulated industry</li> <li>Exposure to claims, eligibility/enrollment, benefits, billing, provider data, prior authorization, or member records</li> <li>Experience working with high-volume queues</li> <li>Familiarity with HIPAA/privacy practices and documentation standards</li> </ul><div class="content-conclusion"><p><span style="font-weight: 400;">This is an authentic Oscar Health job opportunity.</span></p> <p><span style="font-weight: 400;">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.</span></p> <p><strong>Pay Transparency: </strong><span style="font-weight: 400;">Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. </span><span style="font-weight: 400;">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.</span></p> <p><span style="font-weight: 400;"><strong>Artificial Intelligence (AI): </strong>Our <a href="https://oscarhealth.com/careers/ai-guidelines" target="_blank">AI Guidelines</a> outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.</span></p> <p><strong>Reasonable Accommodation: </strong><span style="font-weight: 400;">Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for acc