Note: The job is a remote job and is open to candidates in USA. Oscar Health is seeking a Bilingual Customer Service Representative to join their Member and Provider Services team. This role involves handling customer interactions and back office tasks while ensuring compliance with operational standards.
Responsibilities
- Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model
- Work with members, brokers, providers, and Oscar vendors through multiple channels according to assignment needs
- 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 established escalation pathways
- Monitor and track the health of all assigned work-in-progress issues
- Escalate and resolve issues to ensure appropriate turnaround times
- Participate in process improvement projects
- Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)
- Compliance with all applicable laws and regulations
- Other duties as assigned
Skills
- Must be bilingual in Spanish and English with full professional proficiency in reading, writing, and speaking
- 1+ years of experience in a high-volume or customer-focused setting
- 6+ months of healthcare experience
- High school diploma or GED
- Strong quantitative or analytical skills focused on solving problems
- Experience manipulating and entering accurate data
- Advanced Google Suite or Microsoft Office capabilities
Benefits
- Employee 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
Company Overview