Remote Health Insurance Concierge

Oscar Health; Athens (GA); Remote; USD 26,000 - 29,000; 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

Job summary

Oscar Health is hiring a Customer Service Representative to join our Member and Provider Services team. This remote role supports Georgia residents, with occasional travel for meetings and events. The position focuses on day-to-day customer interactions and back-office tasks within standard operating procedures.

You will report to the Concierge Operations Manager and contribute to process improvements while handling a defined caseload and ensuring quality service under HIPAA compliance.

Qualifications

• 1+ years of experience in a high-volume or customer-focused setting.
• 6+ months of healthcare experience.
• High school diploma or GED required.

Responsibilities

• Develop a comprehensive understanding of Oscar processes, procedures, and tools.
• Interact with members, brokers, providers, and Oscar vendors through multiple channels.
• Hold an assigned caseload, maintaining service delivery, productivity, and quality.
• Build working relationships with all partners.
• Support leadership by identifying issues through escalation pathways.
• Monitor and track health of all in-progress work.
• Escalate and resolve issues to meet turnaround times.
• Participate in process improvement projects.
• Comply with PHI, regulatory, and compliance standards.
• Other duties as assigned.

Skills

Analytical skills

Bilingual Spanish & English

Education

High school diploma or GED

Tools

Google Suite

Microsoft Office

Job description

Oscar Health is hiring a Customer Service Representative to join our Member and Provider Services team. This remote role supports Georgia residents, with occasional travel for meetings and events. The position focuses on day-to-day customer interactions and back-office tasks within standard operating procedures.

You will report to the Concierge Operations Manager and contribute to process improvements while handling a defined caseload and ensuring quality service under HIPAA compliance.