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COB Verification Specialist

Job not on LinkedIn

đŸ”„ 16 hours ago

đŸŒœ Illinois, Kentucky, +4 more states – Remote

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đŸ’” $17 - $23 / hour

⏰ Full Time

🟱 Junior

đŸš«đŸ‘šâ€đŸŽ“ No degree required

🩅 H1B Visa Sponsor

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đŸ‘» Ghost score 0%

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Logo of Oscar Health

Oscar Health

1001 - 5000 employees

Founded 2012

⚕ Healthcare Insurance

đŸ„ Healthcare

đŸ”„ Funding within the last year

💰 $355M Post-IPO Debt - Oscar Health on 2025-09

Healthcare Insurance ‱ Healthcare

Oscar Health is a technology-driven health insurance company that provides individual, family, and small-group health plans in multiple U. S. states. Oscar combines traditional insurance underwriting with digital-first services — a consumer-facing app, 24/7 virtual urgent care, prescription delivery (including $3 meds in many plans), and dedicated Care Teams — and also operates Oscar Primary Care in some markets. The company emphasizes accessible, affordable, high-quality care and uses AI to improve member experience and care delivery. Insurance policies are underwritten by Oscar's state insurance subsidiaries and the company offers both HMO and other plan types across its markets.

📋 Description

‱ Support issue resolution within the Oscar claims environment ‱ Manage end-to-end member data and payer eligibility to ensure accurate and timely claims processing ‱ Initiate the recovery process by conducting outreach to payers and providers on overpaid claims and coordinating with internal teams ‱ Make outbound calls to providers to explain overpayment findings and resolve disputes ‱ Escalate provider questions internally as needed ‱ Maintain detailed records of recovery activities, correspondence, and outcomes in Oscar's systems ‱ Support leadership to scope, size, prioritize items, and deliver solutions ‱ Comply with all applicable laws and regulations ‱ Perform other duties as assigned ‱ Report to the Manager, Payment Integrity

🎯 Requirements

‱ 1+ years in health insurance claims, claims recovery, or a related field ‱ Proficient in basic Google Sheets and/or Excel ‱ Reside in Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; or Salt Lake City, Utah

đŸ–ïž Benefits

‱ Employee benefits ‱ 15 days per year vacation accrual ‱ Medical benefits ‱ Dental benefits ‱ Vision benefits ‱ 11 paid holidays ‱ Paid sick time ‱ Paid parental leave ‱ 401(k) plan participation ‱ Life insurance ‱ Disability insurance ‱ Paid wellness time ‱ Wellness reimbursements

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