1 claims processor Job in tempe, az
Oscar Health is Hiring a Remote Claims Processor
Hi, we're Oscar. We're hiring a Claims Processor to join our Claims Production team.
Oscar is the first health insurance company built around a full stack technology platform and a 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 processes incoming work associated with Claims operations in accordance with standard operating procedures.
You will report to the Manager, Claims Production.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
You must reside in one of the following states: Alabama, Arizona, Colorado, Florida, Georgia, Illinois, Kentucky, Maryland, Massachusetts, Michigan, New Hampshire, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role is: $19.00 per hour. You are also eligible for employee benefits, monthly vacation accrual at a rate of 10 days per year.
Responsibilities
- Develop an excellent grasp of the Administrative Operations system and overall workflows.
- Develop a comprehensive understanding of the current review processes that currently exist and additional processes needed to improve consistency and quality of review.
- Contribute to the reduction of the daily inventory.
- Form strong working relationships with internal and external stakeholders.
- Take ownership of monitoring, tracking, and statusing the health of all work-in-progress issues.
- Manage the escalation and resolution process with external vendors to ensure appropriate turnaround times (where applicable).
- Contribute to teamwide goals that support the success of Claims Productions daily operations.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- 1 years previous work experience in any of the following areas: data analytics, provider data, claims processing, broker commissions, eligibility and billing
- 1 years quantitative analysis skills demonstrated through the use of Excel or Google Sheets
- 1 years strong verbal and written communications, and interpersonal interactions
Bonus Points
- A bachelor's degree in Business, Accounting, Finance, Economics, Healthcare, Public Policy, Technology or Math
- In-depth knowledge of general Insurance and/or Health Insurance operations processing protocols and payment schemes.
- Experience manipulating and entering accurate data in a production driven environment.
- Experience handling Personal Health Information (PHI) in a professional manner.
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
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.
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.
Job Summary
Full Time
Insurance
$54k-65k (estimate)
11/25/2023
05/14/2024
NEW YORK, NY
1,000 - 3,000
2012
MARIO SCHLOSSER
$200M - $500M
Insurance
Related Companies
The job skills required for Claims Processor include Billing, Written Communication, Claim Processing, Health Insurance, Health Care, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Processor. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Processor. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Processor positions, which can be used as a reference in future career path planning. As a Claims Processor, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Processor. You can explore the career advancement for a Claims Processor below and select your interested title to get hiring information.
If you are interested in becoming a Claims Processor, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Processor for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Claims Processor job description and responsibilities
Respond to customer questions, provide guidance on how to file claims and communicate to customers through phone call, email and chat systems.
02/12/2022: Springfield, OR
Claims Processor prepares daily reports for claims management team.
04/30/2022: Fort Myers, FL
Determines whether to return, deny, or pay claims according to organizational policies and procedures.
03/15/2022: Santa Cruz, CA
Claims Processor is responsible for inputting new claims, processing payments, conducting billing research and responding to telephone inquires.
03/06/2022: Helena, MT
For standard claims, a claims processor can calculate the claim amount and pay checks to clients.
04/14/2022: Greenville, MS
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Claims Processor jobs
The time to send the acknowledgement email for each of the claims case should be set based on the customer type.
04/26/2022: Fresno, CA
An onset date should be recorded on all accident related claims.
02/19/2022: Greensboro, NC
Stop Wasting Time on Manual Administrative Tasks.
02/18/2022: Wilmington, DE
Deliver a Top Notch Client Experience.
03/12/2022: Sarasota, FL
When they’re not verifying and paying claims, processors have several administrative responsibilities.
03/02/2022: Cleveland, OH
Step 3: View the best colleges and universities for Claims Processor.
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