COB Verification Specialist

📋 Description

• Initiate the recovery process by conducting reach to payers and providers on overpaid claims, and
• Make outbound calls to providers to explain overpayment findings and resolve disputes. Escalate
• Maintain detailed records of all recovery activities, correspondence, and outcomes in Oscar's
• Support leadership to scope, size, prioritize items and deliver solutions.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

🎯 Requirements

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

🎁 Benefits

• Base pay: $57,366 - $75,234 per year.
• Eligible for 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.