Managed Care Representative

4 weeks ago

Honolulu, United States Hawaii Pacific Health Full time

Job Description Kapi'olani Medical Center for Women & Children is Hawai'i’s only maternity, newborn and pediatric specialty hospital. It is well recognized as Hawai'i’s leader in the care of women, infants and children. With 253 beds, the not-for-profit hospital delivers 6,000 babies a year, and is also a medical teaching and research facility. Specialty services for patients throughout Hawai'i and the Pacific Region include intensive care for infants and children, 24-hour emergency pediatric and adult care, critical care air transport and high-risk perinatal care. Over 1,400 employees and more than 700 physicians provide specialty care at Kapi'olani. The hospital is home to the Kapi'olani Women’s Center and the Women’s Cancer Center, and offers numerous community programs and services, such as specialty pediatric clinics, the Kapi'olani Child Protection Center and the Sex Abuse Treatment Center. As Hawai‘i's premier maternity specialty hospital, Kapi‘olani opened the Fetal Diagnostic Center in 1990. It is the state's first obstetrical center to provide comprehensive diagnostic services for pregnant women. Our staff is comprised of Maternal Fetal Medicine Specialists (physicians with specialized training and experience in the care of pregnant women and their fetuses, including high-risk pregnancies), technologists, genetic counselors and clinical nurses, all of whom are committed to helping our patients have the healthiest baby possible in a caring and nurturing environment. If you have strong organizational and communication skills, you might be the ideal candidate to be our next Managed Care Representative. In this role, you will provide managed care and business process support to the outpatient clinics. We are looking for someone responsible and qualified, with strong attention to protocol and planning and a commitment to delivering the highest quality health care to Hawai‘i’s people. Location: Kapiolani Medical Center for Women and Children, Honolulu, HI Work Schedule: Day - 8 Hours Work Type: Full Time Regular FTE: 1.000000 Bargaining Unit: Non-Bargaining Starting Hourly Rate: 22.08 Exempt: No Minimum Qualifications: High School or equivalent. One (1) year clerical experience in a health care setting. Experience with managed care and government health plans. Preferred Qualifications: Associate's degree. Physician Billing or Coding course. Experience in an outpatient clinic or physician's office. EOE/AA/Disabled/Vets Hawai‘i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. The pay rate, if displayed, is the minimum hourly rate for the position. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity. Position Managed Care Representative - Maternal Fetal Med Perinat FDC Category Administrative Employment Type Employee Location Kapiolani Medical Center for Women and Children, Honolulu, HI Req ID 24146

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