COB Verification SpecialistNew$37K–$50K
The opportunity
Hi, we're Oscar. We're hiring a COB Verification Specialist to join our Payment Integrity team.
What you'll do
Initiate the recovery process by conducting our reach to payers and providers: on overpaid claims, and coordination with internal teams.
Make outbound calls to providers to explain overpayment findings 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
What they're looking for
- + years in health insurance claims, claims recovery, or a related field.
- Proficient in basic google sheets and/or excel
- Strong understanding of healthcare claims processing, medical billing, and: insurance regulations (Medicare, Medicaid, commercial)
- Familiarity with provider contract terms and payment methodologies
