Service Representative/HPA/Well-Being Consultant. Participate in the account planning process to help strategize... enrollment, billing and payment policies and procedures, and health care regulations such as the Hawaii Prepaid Health Care Act...
of medical terminology, health industry coding systems (procedure and diagnosis codes, etc.), CMS1500 or UB04 claim forms...
Job Description: Data Management: Reviews data sources and preps needed data. Identifies existing and new data sources. Performs data prototyping, if necessary, to agree what data can/not be used. Preps data for use in analysis...
, to encourage members to attend regular provider appointments, close open care gaps, and utilize medical services that support... service delivery, member satisfaction, cost, and community health. These efforts contribute to better care coordination...
, to encourage members to attend regular provider appointments, close open care gaps, and utilize medical services that support... service delivery, member satisfaction, cost, and community health. These efforts contribute to better care coordination...
and service activities. Get ahead of the curve on known jeopardy accounts by strategically promoting the value in HMSA.... Prospect new HMSA groups to grow HMSA and USAble customer base in Hawaii. Meet goals, quotas and minimum activity standards...
Job Description: Design, develop and implement standard plan or provider financial and operational reports in response to customer requirements and business needs Lead and implement internal controls;facilitate definition of data an...
Job Description: Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer pe...
Job Description: Develop, analyze, recommend, and monitor reimbursement and provider strategies;prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall program/pla...
. Coordinate internally with other HMSA departments (such as Professional Reimbursement, Claims Administration, Medical Management...