- Humana (Honolulu, HI)
- …Disability lines of coverage + Experience in negotiation + Experience working with healthcare or claims related data **Scheduled Weekly Hours** 40 **Pay Range** ... and help us put health first** The Financial Underwriting Representative 3 computes rates for both renewing and prospective...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Evolent Health (Honolulu, HI)
- …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments ... and empathetically to resolve issues, using clear language translating healthcare -related jargon and complex processes into simple, step-by-step instructions… more
- Humana (Honolulu, HI)
- …provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates ... Minimum of 1 years' work experience reading and interpreting claims + Minimum of 3 years' experience in performing...normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect… more
- Humana (Honolulu, HI)
- …Bachelor's Degree in health or business related field + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC ... of leadership experience + CFE (Certified Fraud Examiner) or AHFI (Accredited Healthcare Fraud Investigator) **Additional Information** + Benefits starting day 1 of… more
- HealthEdge Software Inc (Honolulu, HI)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... plus. + A minimum of 8-10 years management and strategic experience. + Healthcare industry experience in a technology or product development capacity required +… more
- HealthEdge Software Inc (Honolulu, HI)
- …currentprocessesto align withHealthEdgeContinuous Improvement principles.Experience in the healthcare industry is a plus, but notrequired.This roleisremote. ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more