Medical Insurance Authorization Specialist

Authorization Specialist / CLINIC REC III

This position is regional and is located within the Kaua’i Region Clinics of Hawai’i Health Systems Corporation (HHSC) Kaua’i Region, a public benefit corporation of the State of Hawai’i. The HHSC Kaua’i Region encompasses Kaua’i Veterans Memorial Hospital (KVMH) and Samuel Mahelona Memorial Hospital (SMMH), both designated as critical access hospitals (CAH), as well as the Kaua’i Region Clinics and its affiliated entities.

The Clinic Receptionist III leads clinic receptionist functions for four (4) or more clinics or serves as a Subject Matter Expert (SME) in this capacity. In addition to standard receptionist duties, this role encompasses responsibilities as an Authorization Specialist, which includes submitting requests for authorizations to health insurance companies, tracking authorization statuses for patients, verifying insurance eligibility, and obtaining necessary authorizations to ensure patients can access appropriate care within their insurance coverage. Other responsibilities include planning, preparing, and maintaining clinic staff schedules; generating weekly provider encounter visit reports and following up with staff and providers for submission; ordering clinic-specific supplies; ensuring the proper functioning of office equipment; contacting vendors regarding clinic equipment-related issues; training and orienting new staff; conducting training on all computer system updates and revisions; communicating new and revised operational and procedural changes for the clinic; and performing additional duties as required.

This position may be required to work on weekends and holidays as necessary. Additionally, the incumbent may be assigned to various clinic sites within the region to meet operational requirements and patient care needs.

I. EDUCATION, EXPERIENCE, CERTIFICATION, LICENSURE

A. Education: High school diploma or equivalent.

B. General Experience: Two (2) years of responsible typing, stenographic, substantive clerical work, or any combination of these experiences demonstrating knowledge of English grammar, spelling, arithmetic, common office appliances, and equipment; ability to read and understand oral and written instructions, carry out procedures in clerical work systems, speak and write simply and directly, observe differences in copy, proofread words and numbers quickly and accurately, and operate various kinds of office equipment; and ability to deal effectively with others in eliciting information and providing service.

C. Specialized Experience: One (1) year of work experience performing receptionist activities in a clinic; interviewing patients and/or responsible persons to obtain required information; inputting data into a computer system; scheduling appointments, diagnostic studies, and outpatient procedures; performing a variety of fiscal record-keeping functions and preparing and maintaining medical records; and/or work experience in configuration, testing, validating, problem-solving, and troubleshooting Electronic Medical Records (EMR) related issues in a clinic.

Pay: $22.50 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Application Question(s):

• Do you have over 1 year of Of experience as a Authorization lead for Medical procedures ?
• Are you in Kauai? Can you interview and start now?

Work Location: In person

Salary : $23