Credentialing Specialist
Core
A volume-driven production role managing provider credentialing tasks and daily interactions with healthcare providers to support Oscar's health insurance operations.
Role type
Credentialing Specialist (IC)
Builds
Provider credentialing workflows and member access to health insurance
Domain
Health Insurance / Healthcare Administration
Deliverable
client delivery
Required skills
Provider credentialing, data entry in production environments, health insurance knowledge, process adherence, issue escalation, stakeholder communication
Preferred skills
Analytical problem solving, Google Suite/Microsoft Office proficiency
Responsibilities
Manage assigned caseload while maintaining productivity and quality, interact daily with providers and internal teams, monitor and track work-in-progress issues, escalate and resolve issues to meet turnaround times, participate in process improvement initiatives, comply with regulatory standards for PHI
Seniority
Entry-level to Junior, hands-on IC