POSITION SUMMARY. Under the direction of the Customer Service Manager, performs duties related to the Customer Service department, that includes managing the acknowledgement and resolution of grievances and appeals from HDS members and providers, resolving member and provider escalations, coordinating and conducting Customer Service training, documenting FAQs, policies and procedures, evaluating and improving operational processes, identifying sy...
POSITION SUMMARY. Under the supervision of the Group Service Center Manager, maintains and supports the Enrollment Database with information provided by HDS clients and internal departments via manual or electronic means within the established performance standards. Analyzes, researches, and resolves customer issues. Assists the Group Service Center Manager in ensuring company and departmental goals and objectives are met and work processes fo...
POSITION SUMMARY. Under the direction of the Billing Manager, performs duties related to the Billing department, including coordinating the monthly billing process, completing month-end reconciliations, preparation of monthly Minimum Funding and Self-Insured reports, collecting and reconciling payments and providing COBRA administration services. Evaluates effectiveness of processes, identifies system or workflow issues and recommends solutions. ...
POSITION SUMMARY. Under the direction of the Customer Service Manager, performs duties related to the Customer Service department, that includes managing the acknowledgement and resolution of grievances and appeals from HDS members and providers, resolving member and provider escalations, coordinating and conducting Customer Service training, documenting FAQs, policies and procedures, evaluating and improving operational processes, identifying sy...
. POSITION SUMMARY. Primary contact for answering and responding to incoming calls, emails and faxes from providers and their staff related to HDS Medicaid. Responsible for the timely and accurate preparation, review and follow-up updating the weekly Med-QUEST file to ensure that the HDS Medicaid system is current and up to date. Accurately maintains dentist data on the local HDS Medicaid systems. Accurately enrolls and terminates user access to ...
POSITION SUMMARY. As primary communications writer for the company, position is responsible for development of all narratives and execution of marketing programs, campaigns, collateral, promotional tools, and all marketing assets that effectively describe and promote the brand, its mission, and company objectives. Gathers internal and external customer requirements, specifies communication vehicles and project scope, identifies distribution chann...
POSITION SUMMARY. Under the Manager of Quality Assurance performs duties related to the Dental Department, testing of new system enhancements and changes, maintaining the claims adjudication rules system, preparing departmental calibrations, documenting systems and training staff. Evaluates effectiveness of work processes and propose recommendations for solutions and enhancements. Analyzes and researches business problems and departmental informa...
POSITION SUMMARY. Provide professional, executive level administrative support and assistance to the President & CEO. and liaison to the HDS Board of Directors, HDS Foundation Board of Directors, and Hawaii Client Services Board of Directors. Serve executive leadership and senior level leaders, and assist the Director of the HDS Foundation and General Counsel, as needed. Ability to work autonomously with little direction in a team environment, ma...
POSITION SUMMARY. Provides small and mid-size group account management, service, prospective sales and group consultation for Hawaii Dental Service (HDS) customers in the provision of strategic, cost effective, competitive and high quality services for the Hawaii dental market in line with the strategic mission of the company. ESSENTIAL DUTIES AND RESPONSIBILITIES. Establishes and maintains relationships with Brokers, Consultants, Customers, and ...
POSITION SUMMARY. Responsible for sales and retention of HDS small group and individual plan markets. Provides administrative support to the Sales & Account Management Department to assist in meeting the strategic mission and goals of the company. . . . ESSENTIAL DUTIES AND RESPONSIBILITIES. Main point of contact for small group plans, handles/manages all inquiries from Groups/Brokers/Consultants and internal departments. Assists with small group...
POSITION SUMMARY. Under the supervision of the Customer Service Manager, responds to customer inquires and resolves customer issues, and provides information about eligibility, benefits and claims information during incoming/outbound calls or walk-ins and within written or electronic correspondence. Coordinates benefits with other insurance carriers and processes simple claim adjudication as well supports Claims Processing with data entry and cla...
POSITION SUMMARY. Provides application support to user Departments. Acts as the key liaison between the business community, vendors, and Information Technology Systems. Translates departments’ high-level requirements into functional specifications for ITS and manages changes to such specifications. Uses a variety of platforms to provide automated systems and applications to users. Responsible for implementation and support of applications, unit t...
