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Jobs In Kapolei, Hawaii, United States

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  • Villages of Kapolei Association
  • Kapolei, Hawaii 96707 United States
  • 04/20/2017
  • Real Estate
SUMMARY: Inspects all properties within the Villages of Kapolei Association to evaluate physical conditions and ensure the Covenants Enforcement policy is administered by performing the following duties.   ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. ...  More Details
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  • HMSA
  • Kapolei, HI United States
  • 05/25/2017
  • Healthcare
Under minimal supervision, conducts detailed analysis and review of precertification requests, post-service and post-payment claims, concurrent review and facility monitoring by applying clinical expertise against HMSA medical and reimbursement policy criteria, plan benefits, and nationally-accepted...  More Details
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  • HMSA
  • Kapolei, HI United States
  • 05/25/2017
  • Financial Services
This employee mentors, coaches and provides direction for one or more units that are responsible for the processing, adjudication and review of provider and/or member claims, and the implementation of new program changes and/or benefits, work-flows, processes and/or system changes, and other busines...  More Details
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  • HMSA
  • Kapolei, HI United States
  • 05/25/2017
Develop basic knowledge and skill required to resolve routine inquiries from HMSA members, providers, or internal departments regarding claims processed through the BlueCard Program. Within six months, demonstrate the ability to conduct the required research on member benefits, provider contracts, p...  More Details
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  • HMSA
  • Kapolei, HI United States
  • 05/25/2017
A Benefits Recovery Examiner Level I is responsible for the research, identification, and processing of benefit payment recoveries/provider refunds requested by or submitted to HMSA. Recovery decisions made are based on a working knowledge of medical criteria, benefit policies, HMSA's business, and ...  More Details
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