Coordinator, Claims Recovery Job at Oscar Health, Los Angeles, CA

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  • Oscar Health
  • Los Angeles, CA

Job Description

Claims Recovery Coordinator

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 Los Angeles, California office. You will work part of the time in the office and part of the time remote / work-from-home.

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

Job Tags

Hourly pay, Contract work, Part time, Work experience placement, Work at office, Remote work,

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