• Administer and manage employee benefits programs including medical, dental, vision, life, disability, retirement, and voluntary benefits. • Serve as the primary point of contact for employee benefits inquiries, resolving issues related to eligibility, coverage, claims, and life event changes. • Lead open enrollment efforts, including communication strategy, employee education, and HRIS updates. • Maintain and audit benefits data in the HRIS to ensure accuracy, compliance, and a smooth employee experience. • Proactively monitor benefits utilization and trends, identifying cost drivers and opportunities for savings. • Evaluate benefit plan performance and partner with carriers, third-party administrators and ESL’s insurance broker to implement design enhancements or cost-containment measures. • Implement benefit transitions such as plan design changes or carrier transitions, including project planning, vendor coordination, data analysis, employee communication, and utilization tracking. • Produce and analyze HRIS reports to support benefits planning, compliance, and leadership decision-making. • Continuously assess and improve benefits-related processes and workflows to drive efficiency and effectiveness. • Collaborate with Finance and HR to forecast benefit-related costs and propose strategies that align with organizational goals and financial stewardship. • Support carrier invoice payment processing and perform regular reconciliation of benefits costs against payroll deductions. • Regularly reconcile payroll contributions to employee Flexible Spending Accounts, Health Savings Accounts and the Retirement Plan. • Stay informed on relevant legislation and regulations (ACA, HIPAA, COBRA, ERISA) and apply industry best practices. • Support annual compliance tasks, including retirement plan audit, annual filings and notices.

• Provide comprehensive administrative and operational support across the full employee lifecycle. • Manage onboarding and offboarding activities. • Maintain employee records. • Support HR systems and reporting. • Ensure an exceptional employee experience.

• Responsible for managing on-boarding activities, contractual compliance, and ongoing worker administration • Act as single point of contact for Pre-Selected/Pre-Identified W2 employee candidates • Present offer of employment, coordinate start dates, and collect missing onboarding and background documents • Thoroughly explain the onboarding process to the candidate and coordinate all new hire paperwork • Maintain contact with employees to ensure an overall enjoyable employment experience

• Verify patient insurance eligibility, benefits, authorization requirements, and referral needs prior to services. • Obtain referrals from primary care providers and referring physicians, ensuring all referral requirements are met prior to scheduling or treatment. • Track referral status and proactively follow up with provider offices, payers, and patients to ensure referrals are received and remain valid. • Accurately document insurance coverage, benefit information, referrals, and eligibility details within internal systems. • Communicate insurance coverage, patient financial responsibility, estimated out-of-pocket costs, and Oshi's billing model in a clear, professional, and empathetic manner. • Research and resolve eligibility, coverage, referral, and insurance discrepancies that may impact patient care or reimbursement. • Monitor eligibility verification queues, insurance changes, pending requests, and coverage updates to ensure timely resolution. • Identify and resolve claim rejections related to eligibility, benefits, coverage, or referral issues. • Maintain open communication with patients, providers, payers, and internal stakeholders to resolve eligibility, referral, and insurance-related questions. • Collaborate with Billing, Accounts Receivable, Clinical Operations, and other cross-functional teams to improve patient access, billing accuracy, and reimbursement. • Analyze eligibility, referral, and benefit verification data to identify trends, root causes, and opportunities for process improvement. • Monitor and report on eligibility, referral, and verification metrics to support operational performance and continuous improvement. • Contribute to workflow enhancements that improve operational efficiency, reduce claim denials, and enhance the patient financial experience. • Ensure compliance with organizational policies, payer requirements, HIPAA, and healthcare billing and eligibility regulations.