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Eligibility specialist Jobs in Honolulu, HI

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Eligibility specialist • honolulu hi

Last updated: 5 hours ago
Department of Human Services Eligibility Coordinator

Department of Human Services Eligibility Coordinator

Kaiser PermanenteHonolulu, Hawaii
Full-time
Identifies early stages and potential cases for Medicaid / Quest referral.Provides overall management of Medicaid application process. Acts as liaison for Department of Human Services (DHS).Coordinate...Show moreLast updated: 30+ days ago
Membership Specialist

Membership Specialist

UFC GymKailua, HI, United States
Full-time
The Membership Specialist (MS) will represent UFC GYM by providing a welcoming, informative, and entertaining experience for all members and guests during their visits. The Membership Specialist is ...Show moreLast updated: 5 days ago
  • Promoted
Administrative Specialist

Administrative Specialist

RMGSPearl City, HI, United States
Full-time
Administrative Specialist in Pearl City, Hawaii.This position is contingent upon contract award.Provide pay, personnel, and general administrative support. Attend and apply all required training to ...Show moreLast updated: 27 days ago
  • Promoted
SAFETY SPECIALIST

SAFETY SPECIALIST

Alaka`ina Foundation Family of CompaniesHonolulu, HI, United States
Full-time
The Alaka’ina Foundation Family of Companies (FOCs) is looking for a Safety Specialist to support our government customer out of O'ahu, Hawai'i. You can get further details about the nature of this ...Show moreLast updated: 1 day ago
  • Promoted
Culinary Specialist

Culinary Specialist

United States ArmyHonolulu, HI, US
Full-time +1
As a Culinary Specialist, you’ll cook meals and work alongside chefs to prepare meals comparable to any major restaurant, so that Soldiers can sit down and enjoy a hot meal in between training or m...Show moreLast updated: 30+ days ago
Eligibility Senior Representative - Accredo - Hybrid (Hawaii)

Eligibility Senior Representative - Accredo - Hybrid (Hawaii)

The Cigna GroupHonolulu, HI
Full-time
The Eligibility Representative performs specialized patient access functions requiring an advanced understanding of insurance benefits and internal processes in order to successfully liaise with Pa...Show moreLast updated: 30+ days ago
  • Promoted
CONTRACTS SPECIALIST

CONTRACTS SPECIALIST

Pacific Shipyards International, LLCHonolulu, HI, United States
Full-time
Position Title : Contracts Specialist.Reports To : Director of Contracts.The Contract Specialist is responsible for managing, negotiating, and administering contracts to ensure compliance with compan...Show moreLast updated: 28 days ago
  • Promoted
CONTRACTS SPECIALIST

CONTRACTS SPECIALIST

Pacific Shipyards InternationalHonolulu, HI, United States
Full-time
Pacific Shipyards International.Be among the first 25 applicants.Pacific Shipyards International.Get AI-powered advice on this job and more exclusive features. Position Title : Contracts Specialist.R...Show moreLast updated: 4 days ago
  • Promoted
SOLUTIONS SPECIALIST

SOLUTIONS SPECIALIST

Old Dominion Freight LineHonolulu, HI, United States
Full-time
Are you someone who never rests on their laurels, always strives to go above and beyond, and is committed to keeping your. Do you appreciate a company culture that is open, fosters work-life balance...Show moreLast updated: 30+ days ago
Protection Specialist

Protection Specialist

KT Protection ServicesHonolulu, HI, USA
Full-time
Quick Apply
KT Protection Services is a locally owned company based out of Haleiwa that values and respects its employees.We service clients throughout the island and are looking to employ professionals who po...Show moreLast updated: 28 days ago
  • Promoted
Culinary Specialist

Culinary Specialist

US ArmyHonolulu, HI, United States
Part-time +1
Culinary Specialist Job Overview : We are in search of aspiring culinary enthusiasts eager to acquire the essential skills needed for success across various culinary domains.In this role, you will b...Show moreLast updated: 29 days ago
  • Promoted
  • New!
ADMINISTRATIVE SPECIALIST

ADMINISTRATIVE SPECIALIST

RMGS Inc.Pearl City, HI, United States
Full-time
Administrative Specialist in Pearl City, Hawaii.This position is contingent upon contract award.Provide pay, personnel, and general administrative support. Attend and apply all required training to ...Show moreLast updated: 5 hours ago
Administrative Specialist

Administrative Specialist

RMGS, Inc.Pearl City, HI, United States
Full-time
Administrative Specialist in Pearl City, Hawaii.This position is contingent upon contract award.Provide pay, personnel, and general administrative support. Attend and apply all required training to ...Show moreLast updated: 5 days ago
  • Promoted
Office Specialist

Office Specialist

ServcoWaipahu, HI, United States
Full-time
The Office Specialist is responsible for providing business office support for customers, vendors, managers, and staff at Servco's Vehicle Processing Center. In charge of front office reception, pho...Show moreLast updated: 2 days ago
Irrigation Specialist

Irrigation Specialist

MainscapeHonolulu, HI
Full-time
Quick Apply
Mainscape is hiring an experienced Irrigation Technician .You will be performing a wide variety of irrigation maintenance functions related to but not limited to inspections, analysis, trouble...Show moreLast updated: 27 days ago
  • Promoted
Paralegal Specialist

Paralegal Specialist

Department of JusticeHonolulu, HI, United States
Full-time
For more information on the Department of Justice and the United States Attorneys' Offices, visit http : / / www.As needed, additional positions may be filled using this announcement.For additional det...Show moreLast updated: 6 days ago
  • Promoted
CUSTOMER SERVICE SPECIALIST

CUSTOMER SERVICE SPECIALIST

Helping Hands HawaiiHonolulu, HI, United States
Full-time
To provide quality customer service to all persons inquiring about program and service.To perform a variety of administrative tasks and projects, related to the Human Services programs, to include ...Show moreLast updated: 10 days ago
  • Promoted
PAYROLL SPECIALIST I

PAYROLL SPECIALIST I

ProService HawaiiHonolulu, HI, United States
Full-time
Be among the first 25 applicants.At ProService Hawaii, we empower businesses and employees across the islands.As Hawaii’s largest local HR partner, we provide innovative HR solutions in payroll, be...Show moreLast updated: 30+ days ago
  • Promoted
Eligibility Representative

Eligibility Representative

VirtualVocationsHonolulu, Hawaii, United States
Full-time
A company is looking for an Eligibility Representative I to process and maintain eligibility information for individual and employer groups. Key Responsibilities Maintain accurate eligibility reco...Show moreLast updated: 22 days ago
Department of Human Services Eligibility Coordinator

Department of Human Services Eligibility Coordinator

Kaiser PermanenteHonolulu, Hawaii
30+ days ago
Job type
  • Full-time
Job description

Description : Job Summary :

Identifies early stages and potential cases for Medicaid / Quest referral. Provides overall management of Medicaid application process. Acts as liaison for Department of Human Services (DHS). Coordinates data gathering efforts of Medicaid / Quest applications. Serves as Regional subject matter expert on community resources. Develops departmental policies and procedures.

Essential Responsibilities :

  • Develops, coordinates, and facilitates a network of community resources for patients.
  • Identifies, plans and implements process for timely notification of patients with no insurance and / or patients requiring Medicaid / Quest from Admissions, Business Office, UM Pre-admission Screening, and Support Services.
  • Acts as liaison for DHS to Social Services department. Establishes rapport with key personnel in DHS offices. Develops more efficient / effective processes of timely approval.
  • Orients and trains all social services staff on DHS eligibility process and procedures, defines needs, arranges continuing education of assigned staff on new procedures or updates from DHS.
  • Develops and implements departmental policies and procedures related to Medicaid / Quest process. Monitors changes in regulations. Informs social workers and other staff of changes. Recommends procedure changes.
  • Reports problems and progress to supervisor. Collaborates with supervisor in resolution.
  • Coordinates intake of all referrals for Medicaid / Quest applications. Coordinates timely processing of entire Medicaid / Quest application process with members in preparation for alternative levels of care and placement. Makes long-term placement recommendations based on assessment of Medicaid eligibility.
  • Represents Kaiser Social Services at community meetings with DHS as directed.
  • Attends community seminars and workshops specific to professional needs. Maintains network of information with peers in community.
  • Participates formally and informally in approved educational programs.
  • Ensures success of DHS eligibility and timely discharge of placement patients.

Basic Qualifications : Experience

  • Minimum two (2) years of healthcare or acute care experience dealing with third party liability, Medicare and / or state agencies.
  • Education

  • Bachelors degree in social work, public health, or related area, OR four (4) years of experience in a directly related field.
  • License, Certification, Registration

  • N / A
  • Additional Requirements :

  • Working knowledge of state and federal government health care programs and application processes.
  • Demonstrated ability to produce and present management reports.
  • Demonstrated knowledge of and skill in adaptability, conflict resolution, decision making, diplomacy, customer service, group presentations, influence, interpersonal relations, oral communication, problem solving, project management, quality management, results orientation, teamwork, and written communication.
  • Preferred Qualifications :

  • DHS application experience.
  • Case management experience.
  • Knowledge of healthcare information systems.
  • Working knowledge of medical terminology.