Escalation Specialist
Harbor HealthTexas, United States
Posted May 15, 2026
Full Time
About the Company
An organization of people passionate about transforming healthcare for underserved communities.
Job Description
The Contact Center Escalation Specialist is responsible for investigating, documenting, and resolving complex member and provider complaints within Harbor Health's contact center.
Requirements
- 1–2 years of experience in member services or provider services within a healthcare environment
- Comprehensive understanding of health insurance plan processes: claims, appeals, grievances, and prior authorizations
- Proficiency in healthcare compliance standards and internal policies related to complaint management (HIPAA, CMS, TDI)
- Exceptional written and verbal communication; ability to manage sensitive member issues with professionalism
- Strong research, analysis, and problem-solving skills to identify root causes and implement effective resolutions
- Competency maintaining records in CRM or complaint management software
- Ability to collaborate effectively with Legal, QA, and Operations teams
Benefits
- Competitive salary and benefits package
- Professional development and growth opportunities as the team scales
- A transparent startup culture with direct access to leadership
