Healthcare Operations Coordinator

TEKsystems•Honolulu, HI

12h•$23 - $23•Onsite

About The Position

TEKsystems is seeking candidates that want to go into healthcare to support a local healthcare organization in Hawaii. This role supports the Membership Advocacy and Appeals team by processing incoming appeals, grievances, complaints, and member advocacy requests. The ideal candidate is highly organized, detail-oriented, and enjoys helping others while working in a fast-paced administrative environment. In this position, you will serve as a key point of contact for members, providers, and internal teams by ensuring requests are accurately documented, validated, and routed for review. Your work will help support positive member experiences, operational efficiency, and compliance with healthcare regulations. This is a full-time, on-site position located in Honolulu, Hawaii. The schedule is Monday through Friday from 8:00 AM to 5:00 PM, and free parking is provided.

Requirements

Experience in customer service, healthcare operations, call center support, administrative support, or a related field
Ability to work on-site five (5) days per week
Available to work Monday through Friday during standard business hours (8:00 AM - 5:00 PM)
Strong verbal and written communication skills
Excellent attention to detail and organizational skills
Experience maintaining accurate records and documentation
Ability to manage multiple priorities and deadlines
Comfortable handling sensitive and confidential information

Responsibilities

Receive and process member appeals, grievances, complaints, and advocacy requests
Create and maintain accurate records within a case management system
Review incoming requests and supporting documentation for completeness
Verify member information and eligibility details
Route cases to the appropriate teams based on established procedures
Respond to member inquiries via phone, email, mail, fax, and other communication channels
Conduct outbound calls to gather additional information and provide updates
Document all member interactions accurately and thoroughly
Process incoming correspondence and attach documentation to member files
Monitor shared mailboxes and work queues to ensure timely processing
Assist with audit preparation, document retrieval, and workload management activities
Maintain compliance with HIPAA, privacy, and regulatory requirements
Collaborate with internal teams including Customer Service, Claims, Appeals, Grievance, Research, and Clinical departments
Escalate urgent or high-priority member situations as needed
Participate in process improvement initiatives and departmental projects