Healthcare Operations Specialist

Job Summary

A company is looking for a Healthcare Service & Operations Specialist.

Key Responsibilities

• Handle benefit coverage questions, claims, and authorizations
• Manage member relationships to support retention
• Clearly explain insurance concepts to members and providers

Required Qualifications

• Solid understanding of how claims, liabilities, and insurance coverage work
• Calm under pressure and thoughtful rather than reactive
• Basic comfort with business systems and databases