Coordinator claims recovery

Hi, we're Oscar. We're hiring a Claims Recovery Coordinator to join our Payment Integrity team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About The Role

The Coordinator, Claims Recovery role supports issue resolution in the Oscar claim environment.. This role is responsible for the end to end claims repayment quality, process improvement and supporting root cause analysis .

You will report to the Senior Manager, Recovery Services.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home.

Pay Transparency

The base pay for this role is: $19.23 - $25.24 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities

• Initiate the recovery process for overpaid claims, including outreach to providers and coordination with internal teams.
• Communicate with providers to explain overpayment findings, negotiate repayment terms, and resolve disputes. Escalate internally for additional support with provider questions, as needed.
• Maintain detailed records of all recovery activities, correspondence, and outcomes in Oscar's systems.
• Support leadership to scope, size, prioritize items and deliver solutions
• Compliance with all applicable laws and regulations
• Other duties as assigned
  
  

Qualifications

• 1+ years in health insurance claims, claims recovery, or a related field.
• Strong understanding of healthcare claims processing, medical billing, and insurance regulations (Medicare, Medicaid, commercial)
  
  

Bonus points

• Familiarity with provider contract terms and payment methodologies
• 1+ years of related work experience in analytics or operations
  
  

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

Artificial Intelligence (AI) Guidelines : Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.

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