Coding Specialist, Physician - Coding Hawaii Pacific HealthCoding Specialist, Physician - CodingHonolulu, HI$32.17–$35.74 / hourHawaii Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawaii and the Pacific Region with high quality, compassionate care. In this role you will abstract specific patient information from a range of sources including medical records and interviews with medical staff and patients, assign diagnosis and procedure codes into a database, and maintain data for accuracy and completeness.
IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, Informatics Kaiser PermanenteIT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, InformaticsHonolulu, HIEssential Responsibilities: Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities. Ability and/or having the capacity to learn -knowledge representation- logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
HOUSING-ZONING CODE INSPECTOR I (SR-14) [1 vacancy] City and County of HonoluluHOUSING-ZONING CODE INSPECTOR I (SR-14) [1 vacancy]Honolulu, HITo ensure proper delivery, please make sure you: use a valid e-mail account; verify your e-mail address is entered correctly on your GovernmentJobs account; are subscribed to e-mail notices; check your spam folders; and. Professional experience refers to work that generally involves independent critical thinking, solving complex, non-routine problems, preparing reports, and interpreting and applying technical information.
NewRemote AI Systems Engineer & Code Trainer DataAnnotationRemote AI Systems Engineer & Code TrainerHonolulu, HIRemoteCandidates should be fluent in English and have programming experience, particularly in Kotlin and other languages like Java or Python. The job provides competitive pay of up to $60/hour, making a real impact in AI technologies.#J-18808-Ljbffr.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorHI$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Insurance Specialist 3 - Long Term Care Biller (REMOTE - HI) CorroHealth IncInsurance Specialist 3 - Long Term Care Biller (REMOTE - HI)HIRemote$25–$27 / hourPerforming administrative functions including but not limited to medical record submissions, billing claims, patient assistance outreach, obtaining documents from client systems and insurance plan code updates, review corrected claim requests and approve for client assistance or correct the bill within client platform, review and submit payment verification assistance requests. Duties include but not limited to: Resolving complex, higher-dollar unpaid/denied claims for long-term care (LTC), skilled nursing facility (SNF) or intermediate care facility (ICF) claims.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorHI$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Medical Assistant Lead Kaiser PermanenteMedical Assistant LeadHonolulu, HIIn accordance with established guidelines, policies and procedures, as ordered by authorized practitioner and delegated by nurse, and upon completion of clinical competency requirements assists practitioner with highly specialized procedures (i.e. medicine administration, highly specialized and technical office-based medical or surgical procedures, splint manufacture, chain of custody urine collection). Assists practitioner with highly specialized procedures (i.e. frequent office-based surgical procedures, chain of custody urine collection, splint manufacturing, medicine administration) after completion of training and competency requirements, in accordance with policies/procedures, and as delegated by clinic nursing supervisor and ordered by authorized practitioner.
NewSoftware Engineer (Salesforce) (US REMOTE) Motorola Solutions IncSoftware Engineer (Salesforce) (US REMOTE)HIRemote$100,000–$110,000 / yearRequired Skills & Qualifications: Salesforce Certifications (preferred): Salesforce Certified Application Architect, Salesforce Certified Advanced Developer, Salesforce Revenue Cloud Consultant, Salesforce CPQ Specialist, or equivalent. Integration & Maintenance: Design and develop integrations between Salesforce and other enterprise systems (ERP, marketing automation, etc.) using tools like MuleSoft, REST/SOAP APIs, and middleware platforms.
Medical Assistant III Kaiser PermanenteMedical Assistant IIIHonolulu, HIAssists practitioner by setting up sterile and unsterile fields and assisting with routine, minor surgical procedures as delegated by nursing supervisor, nurse and/or practitioner, in accordance with established guidelines, policies and procedures, and upon completion of clinical competency requirements. Job Summary: Supports practitioner and clinical team to accomplish proactive patient management as delegated by and under indirect supervision of clinic nursing supervisor, and with direction from charge nurse, staff nurse, or practitioner.
Medical Assistant I Kaiser PermanenteMedical Assistant IHonolulu, HImedicine administration, highly specialized and technical office-based medical or surgical procedures, splint manufacture, chain of custody urine collection) in accordance with established guidelines, policies and procedures, as ordered by authorized practitioner and delegated by nurse, and upon completion of clinical competency requirements. Assists practitioner by setting up sterile and unsterile fields and assisting with routine, minor surgical procedures as delegated by nursing supervisor, nurse and/or practitioner, in accordance with established guidelines, policies and procedures, and upon completion of clinical competency requirements.
Revenue Cycle Coordinator Surgicare of HawaiiRevenue Cycle CoordinatorHonolulu, HIPrepares customer statements, bills and invoices, reconciles expenses to the general ledger, takes care of basic client inquiries, and performs other clerical tasks related to maintaining the accounts receivable records for the organization. Qualifications Requirements: Minimum Education / Training / Licensure / Certifications: Bachelor's Degree in Business Administration, Accounting, Finance, or Management and/or equivalent combination of education, training and/or experience.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystHonolulu, HIRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Home Health Administrator OahuHome Health AdministratorHonolulu, HawaiiWe are looking for a Home Health Administrator with expertise in Medicare compliance, billing, and coding to ensure our agency operates smoothly and in full compliance with regulations. If you're detail-oriented, experienced in healthcare administration, and passionate about making a difference, we’d love to meet you!
NewAccounts Receivable Analyst Deloitte Touche Tohmatsu LtdAccounts Receivable AnalystHonolulu, HI$70,000–$90,000 / yearAs an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewAccounts Receivable Coordinator Deloitte Touche Tohmatsu LtdAccounts Receivable CoordinatorHonolulu, HI$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Medical Billing Representative Remedy Intelligent StaffingMedical Billing RepresentativeAIEA, HIFull timeAs a Medical Billing Representative, you will handle billing inquiries, process payments, and ensure accurate account management while delivering excellent customer service. Analyze billing errors, reconcile accounts, and generate reports.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminHonolulu, HIRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Customer Care Advisor - No nights or weekends - Hybrid in Honolulu ExternalCustomer Care Advisor - No nights or weekends - Hybrid in HonoluluHonolulu, HawaiiActs as a member advocate by answering customer questions, offering alternative solutions, anticipating member needs, where appropriate, and setting expectations for future experience with USAble Life. In every service interaction, they exhibit USAble Life's commitment to providing peace of mind, ensuring that USAble Life remains the preferred choice for employers, members, and benefits administrators.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerHonolulu, HIRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerHonolulu, HIRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
NewClient Success Manager DatavantClient Success ManagerHonolulu, HI$100,000–$120,000 / yearLead (coordinate, motivate and facilitate) the efforts of associated project resources working closely with all internal teams including: data integrations, coding management, engineering, sales, and executive teams. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerHonolulu, HIRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Patient Account Rep - Hosp Insurance Collections Hawaii Pacific HealthPatient Account Rep - Hosp Insurance CollectionsHonolulu, HI$23.90–$26.56 / hourThis includes: accurate and timely preparation and submission of claims and statements to third party payers and patients/guarantors; follow-up on accounts receivables with third party payers and patients to complete the insurance collection process; and handling third party payer and patient questions/concerns appropriately. Like an engine, the healthcare industry's revenue cycle has many moving parts and the Revenue Cycle team is comprised of business minded, forward thinking, efficient and analytical people who are dedicated to building a high powered revenue management team that is vital and useful to the organization.
Key Account Manager - Bone Health - Southern California (San Diego, Hawaii) Amgen IncKey Account Manager - Bone Health - Southern California (San Diego, Hawaii)HIAmgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. The Account Manager will work internally through the matrix team, and externally with customers to develop strong relationships for Amgen to support sales performance and brand strategies at multiple touch points and levels within complex partner organizations.
Forward Deployed Engineer Rune TechnologiesForward Deployed EngineerHonolulu, HIOur flagship product is TyrOS, an AI-enabled logistics command and control platform that gives commanders a single, real-time operating picture of their sustainment fight, from inventory and distribution to medical and operational planning, even in degraded and contested environments. In this role, you'll take on a diverse set of challenges spanning full-stack development, networking, systems integration, and user-focused problem solving-always balancing speed, scalability, and sound engineering judgment.
NewRN Case Management - REMOTE TEEMA GroupRN Case Management - REMOTE"-", HIRemote$86,000–$98,000Our client is seeking a dedicated Case Manager to provide exceptional case management services to beneficiaries, focusing on high-quality care and positive outcomes. Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care.
Project Analyst, Sr - Revenue Cycle Hawaii Pacific HealthProject Analyst, Sr - Revenue CycleHonolulu, HI$88,317–$110,386 / yearHawaii Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawaii and the Pacific Region with high quality, compassionate care. Revenue Cycle staff monitor inpatient and outpatient charge posting, billing, and collection operation, while recommending and implementing policies and procedures to ensure departmental effectiveness and compliance with insurance billing regulations, government billing requirements, collection laws and reimbursement procedures.
Medical Director - ENT CVS Health CorpMedical Director - ENTHI$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Clinical Document Integrity Specialist Manager UnitedHealth Group IncClinical Document Integrity Specialist ManagerHonolulu, HI$91,700–$163,700 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Oversee that CDI staff are providing expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the patient condition and acuity of care provided.
Application Security Engineer Ryder System IncApplication Security EngineerHonolulu, HICompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
NewRevenue Cycle Analyst 1046 Health Network Laboratories LLCRevenue Cycle AnalystHonolulu, HIAbility to write reports, business correspondence and procedure manuals; effectively present information and respond to questions from managers, clients, customers and the general public. Strong reasoning skills: define problems, collect data, establish facts, draw valid conclusions, interpret technical instructions, and manage abstract and concrete variables.