Hawaii Mainland Administrators, LLC is a privately held, national Healthcare company which provides a broad range of development, management and information services. Full time employment has career growth opportunities, life insurance, paid Holidays, PTO and many more great benefits.

Hawaii Mainland Administrators, LLC ( HMA, LLC ) is seeking a full time Prior Authorization Specialist for our Tempe, AZ location. The prospective candidate will need excellent oral and written communications. They should have the ability to maintain a courteous and professional demeanor while working under pressure self-starter with the ability to work independently and as part of a team, detail oriented, strong analytical ability.

Hourly position with 401(k), paid Holidays and excellent company paid benefits. EOE Submit resume and wage requirements to [employment@hmatpa.com] or fax to 866-293-9670.

Education Required

High School Diploma

Experience Required

2 Years Related Experience

Job Purpose

To support the Health Services Department by processing and reporting authorization requests received via telephone, fax, internet, or mail. Also responsible for handling incoming and outgoing calls to providers regarding authorization status, verification of provider demographics and have the ability to respond to other inquiries such as eligibility, identification of participating facilities and ancillary providers, use of website portals etc. Must have knowledge of medical terminology, benefit plan design, attention to detail, and the ability to effectively prioritize daily and weekly activities to adhere to time sensitive tasks.

Job Tasks

• Data entry of authorizations received via telephone, internet, fax or mail
• Telephonic customer service and outreach to provider network
• Assisting with utilization reporting and correspondence
• Communicating authorization decisions to providers via telephone, internet or fax