Enrollment Processor – Eligibility

Job not on LinkedIn

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $16 - $21 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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 processes, procedures, tools, and regulations associated with Oscar's enrollment and billing business model • Complete enrollment and billing tasks through multiple channels according to departmental needs and assignments • 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 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 applicable laws and regulations • Perform other duties as assigned

🎯 Requirements

• 1+ years of experience in administrative, customer service, data-entry, operations, healthcare, or insurance work • High school diploma or GED • Comfort using computers, multiple systems, and standard office tools • Strong accuracy, attention to detail, and ability to follow written procedures • Ability to handle confidential member information appropriately • Clear written and verbal communication • Ability to manage routine, deadline-driven work and meet productivity/quality expectations • Experience in health insurance, healthcare administration, or a regulated industry is a bonus • Exposure to claims, eligibility/enrollment, benefits, billing, provider data, prior authorization, or member records is a bonus • Experience working with high-volume queues is a bonus • Familiarity with HIPAA/privacy practices and documentation standards is a bonus

🏖️ Benefits

• Monthly vacation accrual at a rate of 15 days per year • Medical, dental, and vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life and disability insurance • Paid wellness time and reimbursements • Fully remote work from a home office • Occasional travel for team meetings and company events