Hybrid Claims Liaison: Bridge & Resolve Process Improvement
$47.5k - $88kRadNet, Inc.
RadNet, Inc. is seeking a Claims Liaison in a hybrid work environment based in Honolulu, HI. The role acts as a bridge between internal teams and external partners to enhance communication and ensure swift resolution of claims. Candidates must have an associate's degree and two years of relevant experience. The compensation ranges from $47,500 to $88,000, with individuals typically starting between the minimum to middle of this range. #J-18808-Ljbffr RadNet, Inc.
$47.5k - $88k
Hybrid Work Environment - Must reside on Oahu Pay Range... ...middle of the pay range The Claims Liaison functions as a bridge between internal and... ...understand manner. Knowledge of process improvement methodologies. Knowledge... .... Investigate and resolve escalated claims and...Process improvementClaimsTemporary workWork experience placementWork at office- ...Claims Resolution & Support Serve as the primary liaison for complex escalated claim inquiries... ...Research and resolve complex claim discrepancies... ...maintain claim processing instructions and... .... Process Improvement & Compliance... ...assigned or directed. #LI-Hybrid...Process improvementClaims
$30 - $32 per hour
TEKsystems is looking for a Claims Specialist to join their team in Honolulu, HI. The... ...will support end-to-end claims processing, ensuring accurate and timely adjudication while contributing to process improvements. This hybrid role is a great opportunity for individuals...Process improvementClaimsHourly pay$30 - $32 per hour
TEKsystems is seeking a Claims Operations Manager in Honolulu, Hawaii. This role involves... ...regulatory guidelines while driving process improvements. Candidates should have healthcare... ...a 401(k) plan, and time off. This is a hybrid contract position. #J-18808-Ljbffr TEKsystemsProcess improvementClaimsHourly payContract work$53k - $99k
...Hybrid Work Environment - Must reside in Oahu Pay Range: $53,000 to $99,000 Note: Individuals... ...of the pay range Produce and analyze claims inventory reports, determine trends,... ...and recommend corrective actions and process improvements. Facilitate implementation of small...Process improvementClaimsWork experience placementInterim roleWork at office- ...provider in Hawaii is seeking a full-time position focused on monitoring and auditing claims inventory reports. The role requires developing business cases for process improvements, handling small system projects, and assisting in medium to large project implementations...Process improvementClaimsFull timeWork at office
- ...investigations workflows and processes, information and data... ...analyze, develop, and resolve proactive FWA cases... ...of benefits, claims, rules, processes, and... ...findings. SIU Process Improvement and SIU Operational Support... ...and duties as assigned or directed. #LI-HybridProcess improvementClaimsContract work
$40k - $50k
...Advisor - No Nights Or Weekends - Hybrid In Honolulu Job Category:... ...Customer Care Advisor I - HI Claims is $40,000 to $50,000. Actual... ..., investigates payment, and resolves concerns with a high degree... ...levels of independence processes and inputs policy premium information...ClaimsFull timeWeekend work$30 - $32 per hour
...TEKsystems is seeking a Claims Specialist to support... ...end-to-end claims processing operations, ensuring accurate... ...to process improvements across workflows. This... ...Oahu and able to work hybrid. If you are interested... ...with investigating and resolving complex or escalated claims...Process improvementClaimsContract workTemporary work$30 - $32 per hour
TEKsystems is seeking a Claims Specialist to support... ...end-to-end claims processing operations, ensuring accurate... ...to process improvements across workflows. This... ...Oahu and able to work hybrid. Responsibilities Support... ...with investigating and resolving complex or escalated claims...Process improvementClaimsContract workTemporary work$30 - $32 per hour
*Claims Operations Manager* *Description* The... ...the end-to-end claims processing function within a healthcare... ..., drives process improvements, and manages vendor relationships... ...with vendors to resolve escalations and... ...Workplace Type*This is a hybrid position in Honolulu,...Process improvementClaimsContract workTemporary work$246.1k - $344.2k
...background and reviews health claims. You will work on... ...-to address and resolve grievances and appeals... ...Participate in quality improvement initiatives, identifying... ...appeals and recommending process improvements. Serve... ...To ensure Home or Hybrid Home/Office associates...Process improvementClaimsBi-weekly payFull timeTemporary workApprenticeshipInterim roleWork at officeRemote workWork from homeHome officeMonday to Friday$17.98 - $32.12 per hour
...exempt Specialty Pharmacy Liaison you will engage... ...pharmacy. Acting as a bridge between patients, providers... ...this role focuses on improving prescription capture,... ...communication. Key duties include processing prior authorizations,... ...prior authorization, claim rejects, overrides,...ClaimsHourly payMinimum wageFull timeWork experience placementWork at officeLocal area- ...Program teams to help resolve complex issues, manage... ...locations below to perform a hybrid work schedule 2-3 days... ...contractual changes, claims, disputes, and key... ...advance business objectives, improve contract operations,... .... Identify and lead process improvement initiatives...Process improvementClaimsFull timeContract workPart timeLocal areaRemote workFlexible hours2 days per week3 days per week
- ...staff, managing investigations, and implementing process improvements to combat FWA. The role requires strong knowledge of claims, health plan regulations, and the ability to... ...oversight for case resolutions. Position offers a hybrid work model. #J-18808-Ljbffr HMSAProcess improvementClaims
- ..., and Program teams to resolve complex issues, manage... ...locations and follows a hybrid work schedule of 2-3 days... ...contractual changes, claims, disputes, and key business... ..., including the bid process, administration,... ...advance business objectives, improve contract operations, and...Process improvementClaimsFull timeContract workPart timeWork at officeLocal areaRemote workFlexible hours2 days per week3 days per week
- ...and implement cost/benefit analysis of claims processing. Develop documentation, including cost... ...recommendations to implement and/or improve claims processing. Collaborate with... ...miscellaneous responsibilities and duties as assigned or directed. #LI-HybridProcess improvementClaims
$60.8k - $82.9k
...Systems Analyst acts as a liaison between the FSU and... ...utilized for billing and claims management. Identify and implement process improvements to reduce denials and... ...vendors to troubleshoot and resolve system issues and... ...Information To ensure Home or Hybrid Home/Office employees'...Process improvementClaimsBi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...key part in ensuring smooth claims payment, accurate member assignments... ..., and maintenance processes. Ensure provider information... ...requirements. Investigate and resolve complex provider data issues.... ...trends and recommend process improvements to reduce future issues. Assign...Process improvementClaimsFull timeContract workWork at officeRemote work
- ...ledger account reconciliations, claims system payment balancing... ...medical refunds transactions, processing third party payee requests,... .... Assist with resolving issues related to payments,... ...deducts, etc. Process Improvement / System Testing Actively...Process improvementClaims
- ...is seeking a skilled professional for a hybrid role in Honolulu, Hawaii, responsible for optimizing performance across claims processing and enrollment operations. The position... ...responsibilities include leading process improvement initiatives, conducting data analysis, and...Process improvementClaimsWork at office
$30.1 per hour
...in the management of daily operational processes, including: optimization of work... ...essential quality reports, advice and improvement recommendations to management along all... ...training needs, works special projects, resolves claim/account issues and technical problems...Process improvementClaimsFor contractorsLocal areaImmediate start$59k - $116k
Work Environment Hybrid Work Environment — Must reside in Oahu... ...Job Summary Monitor and audit claims inventory reports to... ...formulate business cases for process improvements and determine prioritization... ...approval to production. Act as liaison with internal customers to facilitate...Process improvementClaimsFull timeWork experience placementInterim roleWork at office$68k - $133k
Hybrid Work Environment - Must reside in Hawaii Pay Range: $68,000 to $133,000 Note: Individuals typically... ...HMSA's performance optimization across claims processing and enrollment operations. Helps to lead process improvement efforts with HMSA's strategic partners and key...Process improvementClaimsWork experience placementWork at office$22.3 - $35.2 per hour
...receivable team, ensuring accurate and timely processing of claims, including denials and the... ...and follow up on past-due accounts to improve cash flow. Coordinate with billing team... ...and problem-solving skills. Ability to resolve customer issues calmly and professionally...Process improvementClaimsHourly payTemporary workWork at officeLocal areaFlexible hours$60k - $90k
...INSURANCE CO., LTD. (U.S. BRANCH) in Honolulu is looking for a Claims Examiner to oversee and manage complex property and casualty claims... ...of the insurance industry. This full-time position offers a hybrid work model after 90 days and a competitive salary ranging from $...ClaimsFull time$150k - $165k
...companies that all have a shared goal of improving patient access. Each organization (... ...operational rigor, RWD knowledge (Open Claims, Closed Claims, EMR data), and team coordination... ..., and who is motivated by improving processes, scaling delivery, and enabling long-term...Process improvementClaimsFull timeLocal areaRemote work- ...Develop operating strategies that improve performance and enhance US... ...exposure to penalties/fines, claims and losses Maintain... ...transmitted and in a timely manner Resolve all AMS errors the same day... ...in a timely manner Process all GO shipments in a timely...Process improvementClaimsContract workWork experience placementLocal areaMonday to FridayShift workWeekend work
$40 - $58 per hour
...Project Manager Location: Hawaii (Hybrid) Work Schedule: Hybrid (2-3 days onsite... ...to lead end-to-end operational and process transformation initiatives within... ...role is responsible for optimizing claims and operational workflows, improving vendor performance, and enhancing...Process improvementClaimsContract workTemporary work$40 - $58 per hour
...Project Manager* *Location:* Hawaii (Hybrid) *Work Schedule:* Hybrid (2-3... ...to lead end-to-end operational and process transformation initiatives within its... ...role is responsible for optimizing claims and operational workflows, improving vendor performance, and enhancing data...Process improvementClaimsContract workTemporary work
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