Eligibility Systems Specialist (Hybrid)

ALTRES

Honolulu, HI, United States

5 days ago

Role details

Contract type

Permanent contract

Employment type

Full-time (> 32 hours)

Experience level

Experienced

Experience required

3 years minimum

Compensation

$51,000.0 - $57,500.0

Working hours

Regular working hours

Job source

Information Systems Databases Excel Formulas Microsoft Office SQL Databases Information Technology Data Management

Oversee the electronic processing and maintenance of member eligibility records and enrollment data.
Coordinate eligibility updates and implementation activities with clients, vendors, and internal departments.
Serve as a primary resource for enrollment questions, issue resolution, and system support.
Review eligibility workflows and recommend process improvements to increase efficiency and accuracy.
Prioritize and monitor daily electronic enrollment transactions to ensure timely completion.
Partner with IT teams to test system enhancements and support new technology implementations.
Investigate eligibility discrepancies and collaborate with cross-functional teams to resolve issues.
Create and update process documentation, operating procedures, and training materials.
Provide guidance and training to staff and business partners on eligibility systems and electronic processes.

Bachelor’s degree in Business Administration, Information Systems, Computer Science, or a related field, or an equivalent combination of education and experience.
Minimum of three years of experience in healthcare operations, insurance administration, customer support, or a related office environment.
Strong working knowledge of Microsoft Office, including advanced Excel functions.
Experience working with electronic enrollment, eligibility, or data management systems.
Familiarity with SQL, databases, or other technical tools is preferred.
Strong analytical thinking with the ability to identify, troubleshoot, and resolve complex issues.
Excellent organizational skills with the ability to manage multiple priorities and deadlines.
Effective verbal and written communication skills with the ability to work across departments and with external clients.
High level of accuracy, attention to detail, and commitment to maintaining confidential information.
Ability to adapt to changing priorities while contributing to process improvements and operational efficiency.