Authorization/Insurance Verification Spec. in Honolulu, Hawaii at Waikiki Health

Waikiki Health is seeking a full-time Authorization/Insurance Verification Specialist.

Pay rate for this role is $18 - $23 per hour (depending on experience)

Schedule:

Monday – Friday: 8:00 AM – 5:00 PMSaturday: 8:00 AM – 12:00 PM (Rotating, on an as-needed basis)

Benefits

Health insurance (Employee only) 100% premium paid once eligible. 13 Paid holidaysParking included403(b) Retirement Plan Participation effective within 4 weeks of employmentMatching is offered once eligible with a 3-year vesting period

Perks

HOLO Bus Pass benefitsBIKI bike rental benefitsCompany Shirt

Summary of position: Waikiki Health is seeking a Revenue Cycle Financial Counselor to optimize professional billing, collections, and accounts receivable workflows. In this role, you will secure revenue integrity by verifying patient insurance, confirming primary care provider status, and obtaining service authorizations. You will also collaborate directly with executive leadership on critical financial projects – including the annual HRSA Uniform Data System (UDS) Report – while providing exceptional cross-functional support to clinical and administrative staff.

Qualifications and abilities

High school diploma or equivalent, a minimum of 2 years of experience in medical billing and or follow up with all types of insurance carriers including Medicare and Medicaid. Complete understanding of AR and PMS system. Familiarity of Microsoft Office programs, including, but not limited to, Excel and Outlook.Knowledge of current Billing Operating System (Athena)Verifies insurance and PCP assignments at least 3 days prior to the set appointment. Communicates in a clear and timely manner with the Director of Revenue Cycle.

General Duties include but are not limited to

Insurance Verification & PCP Alignment: Verifies insurance eligibility, confirms Primary Care Provider (PCP) designations, and contacts patients directly to gather missing details or facilities calls to update PCP status prior to appointments. Prior Authorization Management: Proactively reviews patient schedules to identify, submit, and secure all required medical and service authorizations before patients are seen by providers. AthenaNet EHR Management & Problem Solving: Utilizes deep system knowledge to research, troubleshoot, and resolve upstream and downstream revenue cycle issues directly within the AthenaNet planform. Executive Projects & Compliance Reporting: Executes specialized financial research and data projects directly by the CFO and Director of Revenue Cycle, including the preparation of critical HRSA UDS Report tables. Cross-Functional Communication & Staff Training: Educates patients, staff, and payers on complex financial processes, creates clinical communication cases for data corrections, and assists with training new revenue cycle employees. Other duties as assigned

*Waikiki Health requires proof of the following immunization; with or without reasonable accommodation: TB skin test or chest x-ray, Hep B (optional).

Interested candidates should apply through our ADP Workforce Now interface:

https://workforcenow.adp.com/mdf/recruitment/recruitment.html?cid=d2354195-5aa4-430f-8772-667797e2561e&sid=V2Fpa2lraWg%3D&ccId=19000101_000001&type=MP&lang=en_US

Those requiring assistance are encouraged to reach out to our organization at (808) 922-4787. Visit our website for more information: www.waikikihealth.org

Waikiki Health is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy-related conditions), gender identity or including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state or local laws and ordinances.