We're seeking detail-oriented Operations Specialists to join a fast-growing health technology company's operations team on a contract basis. In this role, you'll own a high-volume queue reviewing member documentation and transactions against established policy, verifying eligibility, and making accurate approve/deny decisions. This position is best suited to a candidate who follows established procedures precisely, maintains accuracy under high-volume conditions, and exercises sound judgment in identifying when a case warrants further review.
Responsibilities
Review and process a high-volume queue of documentation or transactions.
Approve, deny, or hold requests according to established guidelines and document clear internal notes for the audit trail.
Verify documentation before approving a request or transaction.
Communicate directly with members to request missing documentation, clarify eligibility questions, or deliver a denial professionally.
Escalate complex, ambiguous, or higher-complexity cases to your team lead rather than resolving independently.
Maintain clear, specific notes for any action that required follow-up, an exception, or a judgment call.
Adapt to the pace and complexity of your assigned queue.
Required Qualifications
Bachelor's degree
Experience owning a high-volume, queue-based workflow with consistent accuracy, reviewing documentation, records, or transactions against a defined set of rules.
Strong attention to detail, particularly reviewing financial or benefits documentation against eligibility criteria.
Well-developed written communication skills for direct, professional member correspondence, including delivering a denial or documentation request.
Ability to follow detailed procedures and guidelines closely while recognizing when a case needs to be escalated.
Ability and willingness to work onsite in Austin, TX on a hybrid schedule.
Preferred Experience
Experience in health insurance, benefits, HSA/FSA administration, medical billing or claims review, or fintech/payments operations.
Familiarity with QME, HSA/FSA eligible-expense rules, healthcare claims/expense review, or Medicare/CMS-related administration (Parts A–D, Medigap, Advantage).
Experience with receipt-to-transaction matching, dispute/chargeback review, or accounts payable/invoice matching.
Experience in a generalist operations role spanning multiple functions, with demonstrated ability to shift between workflows as priorities change.
Comfort working with an older or vulnerable population, with strong verbal communication and patience.
Prior experience as a contractor ramping quickly into a fast-paced startup environment.
Numbers & Facts
Location
Austin, TX
Skills
Accounts Payableunmatched
Centers for Medicare and Medicaid Services (CMS)unmatched
Chargebacksunmatched
Communication Skillsunmatched
Cross-Functionalunmatched
Detail Orientedunmatched
Documentationunmatched
Flexible Spending Accountsunmatched
Health Insuranceunmatched
Healthcareunmatched
Medical Billingunmatched
Medicareunmatched
Onboardingunmatched
Policy Developmentunmatched
Presentation/Verbal Skillsunmatched
Procedure Developmentunmatched
Startupunmatched
Team Lead/Managerunmatched
Writing Skillsunmatched
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