Remote HRSN Benefits Specialist - Temporary

Advanced Health Coordinated Care Organization; Oregon (WI); On-site; USD 27,331 - 35,376; Full time

Job summary

Advanced Health Coordinated Care Organization is seeking a TEMPORARY Health-related Social Needs (HRSN) Specialist to centralize and coordinate the HRSN benefit in a remote, fast-paced setting. The role focuses on processing requests, ensuring policy-compliant decisions, and supporting stakeholders across the health plan.

The position requires 2+ years in healthcare admin and data analysis, with knowledge of medical terminology and strong customer service skills.

Qualifications

• High school diploma or GED required; associate degree preferred.
• Two years’ experience in medical office/healthcare admin and two years in customer service.
• One to two years' experience analyzing data and information.
• Knowledge of medical terminology.
• Accounting or budgeting experience preferred.
• Microsoft Office certification preferred.
• THW Certification preferred or willing to obtain within one year; must reside in Oregon.
• Bilingual skills preferred.

Responsibilities

• Coordinate and centralize the HRSN benefit while ensuring accessibility for internal and external stakeholders.
• Review HRSN requests for appropriate utilization based on guidelines.
• Authorize requests in compliance with contracts and Health Plan policies.
• Maintain documentation and enter encounter data and claims.
• Educate employees about the HRSN process.
• Create reports and documents related to HRSN activities.
• Support quality improvement initiatives and audit preparation.
• Participate in weekly FlexFund meetings and coordinate with the Chief Compliance & Quality Officer.

Skills

Customer service

Data analysis

Medical terminology

Microsoft Office

Bilingual

THW Certification

Education

High School Diploma or GED

Associate degree in business administration

Tools

Microsoft Office

Job description

Advanced Health Coordinated Care Organization is seeking a TEMPORARY Health-related Social Needs (HRSN) Specialist to centralize and coordinate the HRSN benefit in a remote, fast-paced setting. The role focuses on processing requests, ensuring policy-compliant decisions, and supporting stakeholders across the health plan.

The position requires 2+ years in healthcare admin and data analysis, with knowledge of medical terminology and strong customer service skills.