Hawaii Medical Service Association jobs in Honolulu, HI

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Negotiates fees on behalf of members for noncovered or nonparticipating provider services in addition to soliciting claims and other related medical information…
Coordinates the resolution of providers' issues, including reimbursement, claims processing, medical and payment policies. Basic Microsoft Office skills ((e.g.
Coordinate travel arrangements and/or travel-alternative options of medium to high complexity for HMSA QUEST Integration Service Coordination members to receive…
Ensure that all government, association and department guidelines, objectives and performance standards are met. Promoting electronic and bill payment options.
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…
Kapolei, HI 96707 (Makakilo-Kapolei area)
Be the first point of contact for inquiries regarding out-of-state medical claims. Assist members, doctors or hospitals, and internal departments with their…
Analyze, research and manage authorization requests from private lines of business for medical review by interpreting applicable medical policies, benefit…
Triage cases to resolve them upon initial inquiry/intake to best service the member as well as minimize the number of cases escalated to Case Resolution…
Provide system support to all users on the various utilization management systems managed by Medical Management Department. Perform other duties as assigned.
Regularly work with data analysts to conduct analysis of clinical data, including medical claims, Electronic Medical Record data and utilization data to…
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