Hcm Specialist

Aston Carter•Overland Park, KS

7d•$20 - $20•Onsite

About The Position

The HCM Support Representative provides administrative and processing support to the HealthCare Management department, primarily by creating pre-notifications, verifying member eligibility and benefit coverage, reviewing provider information, and maintaining accurate documentation. The role involves accurately reviewing and entering healthcare-related information across multiple systems, including medical terminology, medical records, benefit information, and policy provisions. It is suited to someone who enjoys transactional, process-driven work and has exposure to medical records, healthcare administration, clinical support, insurance, or a related healthcare setting. The position is based onsite in a collaborative HealthCare Management office with approximately 10 or more team members. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. The work involves extensive computer use and multiple software applications, with an emphasis on accuracy, consistency, and adherence to established procedures. The posting notes potential growth and career advancement opportunities after an initial period of employment.

Requirements

High school diploma or equivalent.
Medical or healthcare skills are required.
Strong attention to detail and accuracy in data entry and documentation.
Ability to work effectively in a transactional, process-driven environment.
Knowledge of medical terminology sufficient to review and interpret healthcare-related documentation.
Experience handling medical or healthcare-related information, such as medical records, healthcare administration, clinical support, insurance, or a related setting.
Excellent written and verbal communication skills.
Proficiency using multiple computer systems and software applications to research, document, and maintain information.
Customer service skills and the ability to support internal and external stakeholders professionally.

Nice To Haves

One or more years of office experience.
Experience with quality assurance or accuracy-focused work processes.
Prior experience in healthcare customer service or patient support environments.
Familiarity with order entry and data entry in healthcare or insurance systems.
Experience scheduling appointments or coordinating healthcare-related activities.
Ability to contribute to developing manuals, processing procedures, and training tools.
Interest in professional growth and potential long-term career opportunities.

Responsibilities

Create and maintain accurate, complete pre-notification records in internal systems.
Verify member eligibility, benefit coverage, and provider demographic information during the pre-notification process.
Review healthcare-related information and documentation using medical terminology and established procedures.
Maintain accurate documentation related to pre-notifications, reviews, and HealthCare Management events.
Identify requests requiring clinical review and route information to nurse case management resources.
Enter, maintain, and organize information in department systems, spreadsheets, tables, and reports.
Assist with required reinsurer and carrier case management reports.
Retrieve and update monthly HealthCare Management reports and help complete open reviews.
Review information for accuracy and completeness while following established procedures and documentation requirements.
Use multiple computer systems and software applications to research, document, and maintain healthcare-related information.
Assist in developing and maintaining department manuals, processing procedures, and training tools.
Handle additional administrative and processing requests for the HealthCare Management team.
Provide quality-focused customer service to internal teams, providers, and other stakeholders.
Support appointment scheduling and related administrative tasks as needed.