Hawaii Pacific Health Specialist, Managed Care - Utilization Mgmt in Honolulu, Hawaii
Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women’s health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.
Hawai‘i Health Partners is a physician-led accountable care organization with the goal of providing high quality care, increased efficiency and optimal patient health. We believe that greater clinical integration, collaboration and shared accountability among a network of independent physicians, employed Hawai‘i Pacific Health physicians, and Hawai‘i Pacific Health hospitals and clinics will create better health outcomes for the people of Hawai‘i.
If you're a high-organized team player, you could be our next Managed Care Specialist. You will serve as a customer service representative for all internal and external customers. Our team is responsible for screening and processing detailed department records.
Location: Hawaii Pacific Health, Honolulu, HI
Work Schedule: Day - 8 Hours
Work Type: Full Time Regular
Bargaining Unit: Non-Bargaining
Minimum Qualifications: Associate's Degree with related experience or an equivalent combination of education, training, and/or related work experience. One (1) year of customer service and managed care experience.
Preferred Qualifications: Two (2) years in utilization management. Five (5) years of customer service. Knowledge in health plan guidelines. Proficient in Windows Operating Systems, MS Office Applications. Familiarity with basic medical terminology and CPT, ICD-10 and H.C.P.C.S. codes.
Position Specialist, Managed Care - Utilization Mgmt
Employment Type Employee
Location Hawaii Pacific Health, Honolulu, HI
Req ID 13328