Remote Health Insurance Member Services Specialist

Oscar Health; Dallas (TX); Remote; USD 26,000 - 29,000; Full time

Benefits offered by this job

Medical benefits

Vacation accrual (15 days/year)

Remote-friendly work setup

401(k) plan participation

Life and disability insurance

Job summary

Oscar Health is hiring a Customer Service Representative to join our Member and Provider Services team. This remote role serves candidates residing in Texas, with occasional travel for team meetings and events.

You will handle customer interactions and back-office tasks, following SOPs, reporting to the Concierge Operations Manager. Expect a pay rate of $19.00–$21.00 per hour, with benefits, and 15 days of vacation accrual per year.

Qualifications

• 1+ years of experience in a high-volume or customer-focused setting.
• 6+ months of healthcare experience
• High school diploma or GED
• Bilingual in Spanish and English preferred

Responsibilities

• Develop a comprehensive understanding of processes, procedures, and tools associated with Oscar’s business model.
• Work with members, brokers, providers, and Oscar vendors through multiple channels as needed.
• Manage an assigned caseload, maintaining service delivery, productivity, and quality expectations.
• Form working relationships with all partners.
• Support the leadership team by identifying issues through escalation pathways.
• Monitor and track the health of all assigned work-in-progress issues.
• Escalate and resolve issues to ensure timely turnaround.
• Participate in process improvement projects.
• Comply with PHI, regulatory, and compliance standards.
• Other duties as assigned

Skills

Bilingual Spanish-English

Analytical skills

Data entry

Google Suite

Microsoft Office

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 serves candidates residing in Texas, with occasional travel for team meetings and events.

You will handle customer interactions and back-office tasks, following SOPs, reporting to the Concierge Operations Manager. Expect a pay rate of $19.00–$21.00 per hour, with benefits, and 15 days of vacation accrual per year.