About this role.
Oscar Health is hiring a remote Customer Service Representative based in Georgia to join their Member and Provider Services team. This volume-driven role involves handling customer interactions and back-office tasks, ensuring service delivery and quality standards. The position requires 1+ years of customer-focused experience and 6+ months of healthcare experience, with a high school diploma or GED. Bilingual Spanish-English skills are a bonus. The role offers a set pay rate of $19.00 per hour, annualizing to $38,000, plus benefits.
Role DNA
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Job Complexity
2/5Pace & Pressure
4/5Autonomy Level
3/5Communication Load
4/5Salary analysis
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Core skills
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Cover letter sample
I am excited to apply for the Customer Service Representative position at Oscar Health. With over two years of experience in high-volume customer service roles, I have developed strong communication and problem-solving skills that align with the demands of this position. My background includes managing member inquiries and resolving issues efficiently, ensuring high satisfaction levels.
I have six months of healthcare experience, which has given me a foundational understanding of industry regulations and member needs. I am proficient in Google Suite and adept at data entry, ensuring accuracy in all tasks. Additionally, I am bilingual in Spanish and English, allowing me to support diverse member populations effectively.
I am particularly drawn to Oscar's mission of transforming healthcare through technology and member-centric focus. I am confident that my ability to manage caseloads, collaborate with teams, and maintain compliance with PHI standards will make me a valuable asset to your team. Thank you for considering my application.
Sample interview questions
In a previous role, a customer was upset about a billing error. I remained calm and empathetic, listened to their concerns, and investigated the issue. I found the error, corrected it, and followed up to ensure the customer was satisfied. This experience taught me the importance of active listening and timely follow-through.
I prioritize based on urgency and impact. I use a task management system to track deadlines and categorize tasks. For example, I handle time-sensitive issues like member complaints first, then move to routine administrative tasks. I also communicate with my team to ensure alignment on priorities.
I have six months of experience working in a healthcare call center, where I handled inquiries about insurance coverage and claims. This gave me knowledge of HIPAA regulations and medical terminology, and taught me to navigate complex systems to find accurate information for members.
I would be honest and assure the member that I will find the information. I would consult available resources, such as internal knowledge bases or a supervisor, to get the correct answer. Then I would follow up with the member promptly. This approach builds trust and ensures accuracy.
I admire Oscar's innovative approach to health insurance, using technology to simplify the member experience. I want to be part of a company that prioritizes member satisfaction and continuous improvement. The opportunity to work remotely also aligns with my work preferences, and I believe my skills fit well with the team.
Hi, we’re Oscar. We’re hiring a Customer Service Representative to join our Member and Provider Services team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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:
This role is a volume-driven customer service and production-based role that handles the daily activities involved in running a health insurance company including customer interactions and back office tasks following standard operating procedures.
You will report into the Concierge Operations Manager.
Work Location:
This is a remote position, open to candidates who reside in Georgia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
Pay Transparency:
The set pay rate for this role is $19.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.
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
Requirements:
- 1+ years of experience in a high-volume or customer-focused setting.
- 6+ Months of healthcare experience
- High school diploma or GED
Bonus points:
- Strong quantitative or analytical skills focused on identifying or solving problems
- Must be bilingual in Spanish and English with full professional proficiency in reading, writing, and speaking.
- Experience manipulating and entering accurate data
- Advanced Google Suite or Microsoft Office capabilities
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
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