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Kapolei, HI 96707 (Makakilo-Kapolei area)
Similar jobs pay $11.70 - $17.00 an hour
Be the first point of contact for inquiries regarding out-of-state medical claims. Assist members, doctors or hospitals, and internal departments with their…
Kapolei, HI 96707 (Makakilo-Kapolei area) +1 location
This position supports HMSA's overall sales and service strategies. Having an active license to sell Health, Life and Group Insurance products in the state of…
Coordinates the resolution of providers' issues, including reimbursement, claims processing, medical and payment policies. Basic Microsoft Office skills ((e.g.
Kapolei, HI 96707 (Makakilo-Kapolei area)
Monitor, audit, evaluate and make corrections to QI membership enrollment data in a timely manner to prevent claims errors, billing discrepancies and customer…
Analyzes business requests and/or problems including, but not limited to, benefit plans, products, medical/payment policies, provider contracts, reimbursement…
Coordinate database updates of all provider enrollment and maintenance activities within a centralized repository and update provider information in multiple…
Negotiates fees on behalf of members for noncovered or nonparticipating provider services in addition to soliciting claims and other related medical information…
Coordinate travel arrangements and/or travel-alternative options of medium to high complexity for HMSA QUEST Integration Service Coordination members to receive…
Kapolei, HI 96707 (Makakilo-Kapolei area)
Effectively apply reasoning and problem solving and successfully complete interactions with internal and external customers to achieve high quality customer…
Kapolei, HI 96707 (Makakilo-Kapolei area)
Similar jobs pay $13.70 - $19.00 an hour
Develop basic knowledge and skill required to resolve routine inquiries from QUEST members, providers, or internal departments.