Remote COB Verification & Claims Recovery Specialist

Oscar; United States; Remote; USD 25,000 - 32,000; Full time

Benefits offered by this job

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

Job summary

Oscar is hiring a COB Verification Specialist to join the Payment Integrity team. This remote role supports end-to-end member data and payer eligibility to ensure accurate claims processing, reporting to the Manager of Payment Integrity.

The position allows fully remote work from listed US metro areas and may evolve to hybrid in the future. The base pay is $17.91–$23.51 per hour with benefits and 15 days of vacation accrued monthly.

Qualifications

• 1+ years in health insurance claims, claims recovery, or a related field.
• Proficient in Google Sheets and/or Excel.

Responsibilities

• Initiate the recovery process by reaching out to payers and providers on overpaid claims and coordinate with internal teams.
• Make outbound calls to providers to explain overpayment findings and resolve disputes.
• Maintain detailed records of all recovery activities, correspondence, and outcomes in Oscar's systems.
• Support leadership to scope, size, prioritize items and deliver solutions.
• Ensure compliance with all applicable laws and regulations.
• Perform other duties as assigned.

Skills

Health insurance claims

Claims recovery

Google Sheets

Excel

Job description

Oscar is hiring a COB Verification Specialist to join the Payment Integrity team. This remote role supports end-to-end member data and payer eligibility to ensure accurate claims processing, reporting to the Manager of Payment Integrity.

The position allows fully remote work from listed US metro areas and may evolve to hybrid in the future. The base pay is $17.91–$23.51 per hour with benefits and 15 days of vacation accrued monthly.