- Highmark Health (Honolulu, HI)
- …Plan and its beneficiaries enrolled in risk-adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition ... (HCC) coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk… more
- Intermountain Health (Honolulu, HI)
- **Job Description:** The Quality Specialist will partner with various departments to ensure the assigned departments and associates meet all pre-determined metrics ... deficiency and providing excellent customer service. **Position Details:** This remote position will work Monday-Friday during regular business hours. There… more
- BrightSpring Health Services (Hilo, HI)
- …which meansadvancement opportunitiesfor individuals who are looking for career progression! Remote ; can work from anywhere in continental USA. Prefers: Arlington, ... come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a...and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all… more