Enrollment Processor – Eligibility

Oscar Health

. Develop a comprehensive understanding of processes, procedures, tools, and regulations associated with Oscar's enrollment and billing business model .

Posted 10/14/2026full-timeRemote • United StatesJunior💰 $16 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing enrollment and billing processes while ensuring compliance with operational and regulatory standards. Proficient in handling confidential information and maintaining high accuracy in a fast-paced environment.

Highest-signal resume keywords

Enrollment And Billing ManagementHealthcare AdministrationHIPAA ComplianceData Entry AccuracyCustomer Service Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data EntryClaims ProcessingEligibility And EnrollmentBilling ProceduresProvider Data ManagementPrior AuthorizationMember Records ManagementProcess ImprovementRegulatory ComplianceHigh-Volume Queue Management

Soft Skills

Attention To DetailClear CommunicationRelationship BuildingProblem SolvingTime Management

Tools & Technologies

Standard Office ToolsMultiple Systems

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Health InsuranceHealthcareRegulated IndustryPersonal Health Information (PHI)Operational Standards

About the role

Key responsibilities & impact

Develop a comprehensive understanding of processes, procedures, tools, and regulations associated with Oscar's enrollment and billing business model
Complete enrollment and billing tasks through multiple channels according to departmental needs and assignments
Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations
Form working relationships with internal and external stakeholders
Support the leadership team by identifying issues through established escalation pathways
Monitor and track the health of assigned work-in-progress issues
Escalate and resolve issues to ensure appropriate turnaround times
Participate in process improvement initiatives
Comply with operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)
Comply with applicable laws and regulations
Perform other duties as assigned

Requirements

What you’ll need

1+ years of experience in administrative, customer service, data-entry, operations, healthcare, or insurance work
High school diploma or GED
Comfort using computers, multiple systems, and standard office tools
Strong accuracy, attention to detail, and ability to follow written procedures
Ability to handle confidential member information appropriately
Clear written and verbal communication
Ability to manage routine, deadline-driven work and meet productivity/quality expectations
Experience in health insurance, healthcare administration, or a regulated industry is a bonus
Exposure to claims, eligibility/enrollment, benefits, billing, provider data, prior authorization, or member records is a bonus
Experience working with high-volume queues is a bonus
Familiarity with HIPAA/privacy practices and documentation standards is a bonus

Benefits

Comp & perks

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
Fully remote work from a home office
Occasional travel for team meetings and company events