Research Specialist

Mar 17 2020
ALTRES Office |Honolulu|Full Time, $35,000 / year
Category: Healthcare
Job Description
Research Specialist (197359)

Full-time Research Specialist opening with a health plan administrator in Honolulu. The Research Specialist will handle, investigate and respond to appeals regarding plan benefits, claims, and eligibility.

The ideal candidate will have prior experience in customer service, handling complaints or appeals. Previous experience in the healthcare industry is a plus.

Hours

Full-time

Location

Downtown, Honolulu, Oahu

Pay

$35,000 a year

Responsibilities

  • Work closely with employer groups to facilitate and coordinate clarification, documentation and verification for a variety of health plan compliance related functions.
  • Assists with handling, investigating, and responding to appeals regarding plan benefits, claims, eligibility, administrative processes, and precertification.
  • Act as a point of contact between the Compliance department and employer groups.
  • Draft response letters to inquiries or complaints.
  • Send final responses to the appropriate parties.
  • Maintain up-to-date files and logs.

Qualifications

  • At least 1 year experience in customer service, handling complaints or appeals.
  • Healthcare industry background a plus.
  • Excellent verbal and written communication skills.
  • Ability to professionally and timely respond to complaints.
  • Intermediate Microsoft Office skills.