Healthcare Operations Specialist
Job Summary
Bridging the gap between members and their healthcare benefits, the full-time Healthcare Operations Specialist will manage benefit coverage inquiries, claims, and authorizations while fostering member relationships to enhance retention.
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 claims, liabilities, and insurance coverage
- Ability to remain calm under pressure and respond thoughtfully
- Strong communication skills, both verbal and written
- Basic comfort with business systems and databases
Complete Job Description
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