Credentialing Specialist

🕒 June 30

🌵 Arizona, Florida, +1 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🤠 Texas – Remote

💵 $19 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 39%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

💰 $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

• Develop a comprehensive understanding of the current processes, procedures, and tools associated with credentialing • Interact daily with providers or internal Oscar teams according to assignment needs • Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations • Form working relationships with internal and external stakeholders • 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 initiatives • Comply with operational, regulatory, and compliance standards relating to member Personal Health Information (PHI) • Comply with all applicable laws and regulations • Perform other duties as assigned

🎯 Requirements

• High school diploma or GED • 1+ years of experience in a fast-paced, volume-based or customer service-oriented environment • Strong verbal and written communication skills • Strong quantitative or analytical skills focused on proactively identifying or solving problems • In-depth knowledge of health insurance • Credentialing or provider facing experience • Experience manipulating and entering accurate data in a production driven environment • Advanced Google Suite or Microsoft Office capabilities or willingness to learn

🏖️ Benefits

• Employee benefits • Monthly vacation accrual at a rate of 15 days per year • Medical benefits • Dental benefits • Vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life and disability insurance • Paid wellness time and reimbursements