Contract Operations Support Specialist
New
H
Healthcare Management Administrators (HMA)Healthcare administration
We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.), flexibility to work schedules that support people in all time zones across the USContractSenior
Salary27 - 33 USD per hour
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Job Details
- Experience
- 5+ year of administrative, operational support, data entry, customer service, healthcare administration, or related experience; 3+ years of experience working with databases, CRM platforms, or business systems; 5+ years of experience with Microsoft Office applications, including Excel, Outlook, and Word.
- Required Skills
- Microsoft ExcelData entry
Requirements
- Have a high school diploma or equivalent; an associate degree is preferred.
- Bring 5+ years of administrative, operational support, data entry, customer service, healthcare administration, or related experience.
- Have 3+ years of experience working with databases, CRM platforms, or business systems.
- Have 5+ years of experience with Microsoft Office applications, including Excel, Outlook, and Word.
- Demonstrate the ability to manage multiple priorities and meet deadlines in a fast-paced environment.
- Bring strong organizational, communication, and problem-solving skills.
- Maintain confidentiality when handling sensitive member and client information.
- Show strong attention to detail and the ability to identify data inconsistencies and errors.
- Have experience in healthcare administration, health insurance, TPA operations, or employee benefits.
- Have experience supporting enrollment, implementation, renewals, claims administration, or care management functions.
- Be familiar with auditing, quality assurance, or data validation processes.
- Knowledge of member eligibility, ID card processes, or benefit administration is preferred.
Responsibilities
- Enter and validate client and member information in internal systems for new group implementations.
- Ensure prior authorizations and related data are accurately transferred and maintained during implementations.
- Support implementation teams with administrative and data management tasks.
- Enter renewal information and supporting documents into CRM and operational systems.
- Maintain accurate renewal records and coordinate with Client Success teams on processes and deadlines.
- Audit Summary of Benefits and Coverage documentation against system configurations and renewal documentation.
- Verify entered data, identify discrepancies, document audit findings, and assist with resolution.
- Audit ID card requests and supporting documentation for completeness and accuracy before submission to Technical Operations.
- Coordinate follow-up regarding ID card production and distribution.
- Provide administrative assistance, data entry, document processing, and record updates for Client Success, Claims, and Care Management teams.
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