Customer Service Representative (Remote) Jobs in Wailuku, Hawaii

Dynamic Environment

Patient Accounting Representative

Kaiser Permanente Wailuku, HI

Job Summary:Patient Account Representatives perform billing and follow up for hospital or professional claims. This includes accurate and timely submission of claims and insurance follow up, according to State & Federal regulation and payer guidelines. Also resolves denials and does reimbursement analysis to ensure maximum reimbursement was received according to payer contractual agreements.Essential Responsibilities:Performs accurate and timely billing of insurance claims in accordance with policies and procedures of Maui Health and in compliance with State/Federal regulations, payer health plan guidelines, and third-party payer requirements.Expedites larger dollar accounts to ensure revenue optimization for prompt payment.Follows up timely on payment with insurance companies, agencies, payers and/or patients ; researches and takes action as required on outstanding accounts.Audit payments and appeals (as needed) to ensure Maui Health has received corrected, expected payment from payers in accordance with contract terms.Responds to patient and insurance inquiries promptly and courteously.Performs audits as needed for quality control and to ensure efficient follow up.Collects monies owing for all services rendered, including third party payers, employers, and guarantors.Document all actions into account notes.Resolves payer denials, including submission of appeals as needed.Communicates timely and appropriately with Team Lead/Supervisor to identify and resolve payer/claim submission issues.Analyzes and takes appropriate action steps according to MHS protocols.Strives to achieve targeted benchmarks and exceed collection goals for prompt account resolution.Basic Qualifications:Minimum one (1) year collections or administrative experience.High school diploma.N/AAdditional Requirements:Demonstrated ability to perform diversified clerical functions and basic accounting procedures.Demonstrated ability to motivate debtors to pay.Demonstrated knowledge of and skill in adaptability, change management, conflict resolution, customer service, influence, interpersonal relations, oral communication, problem solving, teamwork, and written communication.Preferred Qualifications:One (1) year experience medical insurance claims processing, demonstrating knowledge of Medicaid, Medicare, & Commercial payer requirements.An Associates Degree or Bachelors Degree in Business Administration, Finance, Accounting or Healthcare-related field may be substituted for one (1) year experience as a Patient Account Representative.Knowledge of medical terminology, CPT-4 and ICD-10-CM coding.10-key by touch.Post high school coursework in accounting.#J-18808-Ljbffr

Best Match

Patient Service Representative

APR Consulting Wailuku, HI

APR Consulting, Inc. has been engaged to identify a Patient Financial Services RepresentativeLocation: 849 Wili Pa Loop, Wailuku, HI 96793Position: Patient Financial Services Representative (Partially Remote)Pay Rate: $25.56/hrDuration: 6 monthsShift/Schedule: 7am-3:30pm, 7:30 am-4pm or 8am-4:30 pmDress Code: Business casualTop Daily Responsibilities: Performs accurate and timely billing of insurance claims in accordance with policies and procedures of Maui Health and in compliance with State/Federal regulations, payer health plan guidelines, and third-party payer requirements.Expedites larger dollar accounts to ensure revenue optimization for prompt payment.Follows up timely on payment with insurance compTop (3) Required Skills Candidate Should Have:High School Diploma/GEDOne (1) year experience in medical insurance claims processing, demonstrating knowledge of Medicaid, Medicare, & Commercial (including Worker's Compensation and Third-Party Liability) payer requirements.In-depth Knowledge of WC and TPL Regulations; Insurance Claim Processing and Denial Management; Accounts Receivable (AR) and Collections Procedures; Accounts Receivable (AR) and CollectionsSpecific Systems Knowledge Required: HER (Preferred): EPIC HERAdditional Skills Preferred (Not Required):Associates Degree or bachelor’s degree in business administration, Finance, Accounting or Healthcare-related fieldCustomer Service.Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.Don't miss out on this amazing opportunity! If you feel your experience is a match for this position please apply today and join our team. We look forward to working with you!

Dynamic Environment

Billing/Collection- Representative

Maui Medical Group Wailuku, HI

Overall Purpose of the PositionThe Billing/Collection representative is responsible for the patient collections process. This includes collecting payments, establishing budgets with patients, following up on patient’s outstanding balance, corresponding with insurance companies, verifying insurance eligibility, and following up on status of payment with patient/guarantor, insurance companies and/or adjustors.Major Job ResponsibilitiesWorks to secure payment from patient for outstanding amountsWorks with patient to create a budget or payment planAnswers patient inquiries regarding their accountWorks to reduce assigned accounts receivable in accordance with billing guidelinesIssues appeals with insurance companiesCorresponds with insurance companies and adjustors to verify status of claimWorks with outside collection agency(s) to collect delinquent accountsMaintains confidentiality in accordance with company and HIPAA guidelinesInteracts with Sr. Billing/Collection Representative to expedite efficient and timely collections referralsDemonstrates quality work, completes assignments on a timely basis and makes decisions within limits of authorityMaintains attendance standards consistent with company policyMinimum QualificationsHigh school diploma or equivalentOne year of physician billing and collections or medical insurance administration experienceEffective organization, math skills, ability to prioritize and manage multiple tasks simultaneouslyCourteous and professional telephone skillsDesired/Preferred QualificationsKnowledge of medical terminology, coursework in business office administrationEquipment & Environmental FactorsPersonal computer, telephone, 10-key, copier and fax machineRequires prolonged sitting (75%), bending, stooping and stretching for files and supplies (10%); manual dexterity sufficient to operate a keyboard and other office equipment; vision 20/20; hearing normal range for telephone contactsHourly RateStarting @ $18.45; based on experienceEEO StatementMaui Medical Group is an equal employment opportunity/affirmative action employer. We actively seek diversity among our employees. We do not discriminate on the basis of age, race, color, religion, sex/gender, ancestry, disability, marital status, arrest and court record, sexual orientation, pregnancy, veteran status, genetic information, domestic or sexual violence victim status, or other protected categories in accordance with state and federal laws. We encourage individuals with disabilities, minorities, and veterans to apply.#J-18808-Ljbffr

DMVL Service Representative II (SR-13)

County of Maui Wailuku, HI

Salary: $3,900.00 MonthlyLocation : Maui County (various), HIJob Type: VariousJob Number: HC 2024- DMVL SR II (A)Department: Department of FinanceOpening Date: 11/12/2024Closing Date: Continuous Description IMMEDIATE VACANCIES: Kahului, Pukalani, Kihei, Lahaina Performs the full range of motor vehicle registration work, including the independent processing of applications for initial registration and licensing of motor vehicles; processes applications for and issues licenses for business, bicycles and dogs; independently processes applications and issues initial, renewal, and duplicate driver's and related licenses, permits, and civil identifications; reviews and examines various supporting documents in connection therewith; may process motor vehicle accident and traffic conviction cases to assure compliance with provisions of law requiring financial responsibility; and performs other related duties as required.Distinguishing Characteristics:This class differs from the DMVL Service Representative III in that it independently performs the full range of motor vehicle registration work, including initial registration and licensing of motor vehicles and the processing and issuance of licenses for business, bicycle and dogs, as well as the independent processing of applications and issuance of initial, renewal, and duplicate driver's and related licenses, permits, and civil identifications; (may perform specialized clerical work requiring substantive knowledge of motor vehicle safety and financial responsibility laws, requirements, procedures, rules and regulations, as applicable). The work involves constant daily interaction with the public through either face-to-face or telephone contact to: (1) establish and maintain customer relations; (2) provide information and assistance which requires extensive knowledge of rules and regulations and policies and procedures; (3) advise on and process a variety of financial transactions, and (4) investigate and resolve complaints and inquiries. The DMVL Service Representative III supervises and participates in the full range of activities relating to motor vehicle registration and licensing, including the issuance of County business, bicycle, and dog licenses; and also supervises and participates in the application and issuance process of driver's and related licenses, permits, and civil identifications. This class differs from the DMVL Service Representative I in that it independently performs the full range of motor vehicle registration work, including business, bicycle and dog licenses, as well as the independent processing of applications and issuance of driver's and related licenses, permits, and civil identifications which involves constant daily interaction with the public; whereas the DMVL Service Representative I performs routine motor vehicle registration and licensing work as well as the independent processing of applications and issuance of driver's and related licenses, permits, and civil identifications where work involves very limited public contact. Examples of Duties The following are examples of duties and are not necessarily descriptive of any one position in this class. The omission of specific duties statements does not preclude management from assigning such duties if such duties are a logical assignment for the position.Explains to applicants the procedural and legal requirements regarding the registration and licensing of motor vehicles in the State of Hawaii, obtaining a new, renewal, or duplicate driver's license in Hawaii for mopeds, motor scooters, motorcycles, three wheel vehicles, automobiles, buses, trucks, semi-trailers, and truck trailers, and obtaining a new, renewal, or duplicate State of Hawaii civil identification.Reviews all documents as to compliance with applicable provisions of statutes and ordinances.Processes the initial registration and licensing of motor vehicles (including those from out-of-state) in the State of Hawaii.Prepares driver's licenses, permits, and civil identifications and issues same to applicants.Refers to source materials and manuals to ascertain the title, registration and driver's license practices of other states and jurisdictions, and determines which documents and instruments are necessary for establishing or verifying ownership, title, and identification.Processes transfers of ownership and the issuance of duplicate certificates of ownership and registration.Examines registration and ownership certificates and/or other substantiating evidence of ownership such as notarized bills of sale, chattel mortgages, conditional sales, contracts, letters of testamentary, letters of administration, orders of bankruptcy and executory sales documents, powers of attorney, affidavits, bills of lading, ownership releases, etc. for acceptability and validity.Independently advises applicants to procure and subsequently reviews necessary documents such as certified birth certificates, marriage certificates, divorce decrees, proofs of financial responsibility, doctor's reports, etc. to comply with applicable portions of State law.Advises applicants of the need for procuring indemnity bonds when documentary evidence regarding ownership is lacking and determines sufficiency of such bonds upon presentation.Receives and processes orders for special plates, notifies applicants of receipt or rejection, and provides instructions for further processing as required. Reviews documents and processes applications for dog licenses and bicycle licenses.Reviews and examines Notices of Transfer for completeness and updates computer records.Gathers required forms and prepares POA forms and paper plates for pick up by dealers.Receives Refund of Cash Bond and Special Plate Fees and reviews for completeness and for appropriateness of refund.Receives address change information and updates database.Receives, reviews, and processes auto buy-back program documents.Defers issuance of ownership certificates where receipt of required proof is pending; issues temporary permits for use of motor vehicles registered in other jurisdictions; checks for no fault insurance coverage, safety check, odometer registration, etc.Computes and/or prorates and collects necessary weight taxes and fees, types receipts, and issues certificates of registration and ownership.Processes applications, computes and collects taxes and fees for annual renewal of motor vehicle registration certificates.Assumes responsibility for all revenue received; tallies and balances cash and all receipts; records pertinent data on application forms and files same; determines qualification for and issues tax exempt motor vehicle permits and license plates.Examines certificates prepared by new car dealers and issues corrected certificates where discrepancies are noted.Maintains various office records and files; prepares statistical reports for driver's licenses and civil identification transactions.Inputs a variety of information into the computer system.Performs test room duties such as administering and correcting written tests; administers eye examinations.Greets the public, assists them with answers to questions, checks for completeness of required forms, and instructs the public on additional forms needed to complete transactions.Determines qualifications for a driver's license and civil identification. Keeps abreast of civil identification, motor vehicle, and driver licensing requirements of other states and the statutory requirements and administrative rules in the State of Hawaii.Handles clerical safety transactions under the PMVI program.Performs clerical tasks to support the Abandoned Vehicle Program.May process motor vehicle accident and traffic conviction cases to assure compliance with provisions of law requiring financial responsibility as a regular, recurring assignment. Minimum Qualification Requirements Training and Experience: A combination of education and experience substantially equivalent to graduation from high school and two (2) years of clerical work experience, one (1) of which shall have been in motor vehicle registration, regulatory licensing, or similar activities.License Requirement: Possession of a valid motor vehicle driver's license (equivalent to State of Hawaii Type 3).Knowledge of: Laws, ordinances, rules and regulations governing the registration and licensing of motor vehicles in the State of Hawaii and the issuance of State of Hawaii driver's licenses and civil identifications (provisions of the Motor Vehicle Safety Responsibility Act, Real ID Act, and traffic laws and ordinances, as applicable); sources of information relating to motor vehicle registration and title practices of the various states, U.S. possessions and foreign countries; vehicle characteristics and descriptions; purposes, uses and requirements of common legal and business documents such as contracts, bills of sale, powers of attorney, affidavits, birth and baptismal certificates, proofs of financial responsibility; divorce decrees, etc.; office practices and procedures; use of standard office machines and equipment, including personal computers, peripheral equipment, and software applications.Ability to: Deal tactfully and effectively with the public; listen to and interpret the needs of the customer and demonstrates courtesy and patience in customer relations; appraise situations, make appropriate decisions, and resolve disputes as required; understand and apply provisions to pertinent laws, ordinances and regulations; (including provisions of Motor Vehicle Safety Responsibility Act and Real ID Act, as applicable); keep records and maintain files; make arithmetical computations and compare names and numbers accurately; input and retrieve data from a computerized system; operate a personal computer using a variety of software applications.Health and Physical Condition:Persons seeking appointment to positions in this class must meet the health and physical condition standards deemed necessary and proper to perform the essential functions of the position with or without reasonable accommodations.Physical Effort Grouping: Light APPLICATIONS MAY BE FILED ONLINE AT: If you have never applied for a job using the NEOGOV system, you must create an account. You will need a username, password, and working email address to create your account. Your detailed work history is required on the application. A resume submitted in lieu of an application will not be sufficient. Furthermore, "See resume" is NOT an acceptable response under the "Work Experience" section. An application containing this response may be deemed incomplete. Applications may be rejected if they are incomplete.EXAMINATIONS ARE ADMINISTERED IN THE COUNTY OF MAUl ONLYThe above examination is being given on an open-competitive basis to establish an eligible list which shall be effective for not more than one year unless extended by the Director of Personnel Services.AN EQUAL OPPORTUNITY EMPLOYERThe County of Maui does not discriminate on the basis of race, sex, sexual orientation, age, religion, color, ancestry, national origin, disability, marital status, pregnancy, arrest and court record, assignment of child support, national guard participation or any other basis covered by state or federal laws governing non-discriminationPre-Employment/Post-Offer Drug Screening Test: All applicants, who will enter a safety sensitive position or certain designated categories that the Personnel Services Director has established or who are required by law to be drug tested must pass a pre-employment/post-offer drug screening test as a condition of employment. There is no retesting or re-evaluation process. Cost for the drug screening test shall be borne by the County of Maui.Personnel Services Email: 01 This position requires two (2) years of clerical work experience, one (1) of which shall have been in motor vehicle registration, regulatory licensing, or similar activities. Do you have at least one (1) year of this experience? Note: Please ensure your related work experience is listed on your application. Yes No 02 If yes, please indicate at which employer you gained this experience and include the percentage of time spent performing those duties. ("See resume" is not acceptable.) Required Question

Customer Service Representative - Work From Home

Empower AI Wailuku, HI

[Call Center / Remote] - Anywhere in U.S. / Competitive pay - As a Customer Service Rep at Empower AI, you will: Respond to telephone inquiries promptly, professionally, and efficiently to provide resolution; Analyze provider questions to determine best use of resources to resolve the situation; Accurately document all interactions and resolutions; Maintain a positive and professional attitude at all times...Hiring Immediately >>

Customer Service Representative - Work From Home

Foundever Wailuku, HI

[Call Center / Remote] - Anywhere in U.S. / Up to $19 per hour + bonuses / Health, dental & vision / 401k matching / PTO / Equipment provided / Paid training - As a Customer Service Rep at Foundever, you will: Provide exceptional customer service to clients via phone, email, and chat support; Troubleshoot and resolve customer inquiries and issues in a timely and efficient manner; Maintain accurate records of customer interactions and transactions; Collaborate with internal teams to escalate and resolve complex customer issues; Utilize company resources and knowledge base to effectively address customer concerns; Maintain a positive and professional demeanor while representing the company...Hiring Immediately >>

Customer Service Representative - Work From Home

Beyond Finance Wailuku, HI

[Call Center / Remote] - Anywhere in U.S. / Competitive pay / Health, dental & vision / 401k matching / PTO - As a Customer Service Rep at Beyond Finance, you will: Assist customers with inquiries and complaints via phone, email, and chat: Provide excellent customer service by actively listening, showing empathy, and finding solutions; Maintain accurate and detailed records of customer interactions; Follow company policies and procedures to ensure customer satisfaction; Collaborate with team members and supervisors to troubleshoot and resolve customer issues; Utilize computer systems to access customer information and update records...Hiring Immediately >>

FT Customer Service Representative - Work From Home

Guidehouse Wailuku, HI

[Call Center / Remote] - Anywhere in U.S. / Up to $56K per year / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Guidehouse, you will: Answer inbound customer service calls and make some outbound follow up calls in a professional, patient experience and customer service-oriented manner; Answer the calls timely without drops/abandons; Ascertain the reason for the call and assist the caller with their questions, concerns or problems with the focus on first call resolution; Facilitate resolution by referring the matter to the issue/content expert; Resubmit Corrected Claims and supporting documentation as need for the patient experience...Hiring Immediately >>

FT Customer Service Representative - Work From Home

Local Splash Wailuku, HI

[Customer Support / Remote] - Anywhere in U.S. / Competitive pay / M-F 7a-4p PST - As a Customer Service Rep you'll: Provide support to clients by incoming & outgoing phone calls & emails; Proactively assist clients with all account matters i.e. orders, errors, account questions, billing, cancellations, and other queries; Perform account updates and data entry; Adhere to performance metrics...Hiring Fast >>

FT Customer Service Representative (Work From Home)

PDX Renovations Wailuku, HI

[Call Center / Administrative Assistant / Fully Remote] - Anywhere in U.S. / Up to $60K per year - As a Customer Service Rep you'll: Support the Acquisitions Manager(s) by taking incoming calls/leads and qualifying them and building rapport at the time of initial and ongoing conversations; Manage the CRM by inputting the live leads and attaching each lead to a marketing campaign and sales rep; Schedule all (physical and phone) appointments for sales staff; Handle confidential information with sensitivity and discretion; Communicate Appointment details with Acquisition Managers and keep on top of the flow of tasks; Return calls in a Fast, pleasant, and upbeat manner...Hiring Fast >>

FT Customer Service Representative - Work From Home

DGI Supply Wailuku, HI

[Customer Support / Remote] - Anywhere in U.S. / $23 per hour / Medical, dental & vision / 401k - As a Customer Service Rep at DGI Supply, you will: Handle customer and sales interactions via phone, email and tickets within the Customer Care Box; Process requests for quotations, order entry and product questions from customers; Ensure accurate order entry and timely feedback to customer inquiries; Work collaboratively with colleagues, focusing on building strong customer relationships; Stay up-to-date on company products, policies, and procedures to provide accurate and informed assistance to customers...Hiring Immediately >>

FT Customer Service Representative - Work From Home

VIATEQ Corporation Wailuku, HI

[Call Center / Remote] - Anywhere in U.S. / Up to $25 per hour / Healthcare benefits / 401k / PTO - As a Customer Service Rep at VIATEQ Corporation, you will: Answer inbound and outbound calls in a timely and professional manner to resolve customer inquiries, complaints, and issues based on client instructions; Identify customer concerns or problems and offer effective solutions to ensure customer satisfaction; Maintain up-to-date records of calls including actions taken and follow-up requirements; Collaborate with team members to resolve complex customer issues and ensure customer needs are met...Hiring Immediately >>

Collections Representative - Work From Home

Armstrong Transport Group Wailuku, HI

[Accounts Receivable / Remote] - Anywhere in U.S. / Competitive pay / Medical, dental & vision / 401k match / PTO - As a Collections Rep at Armstrong Transport Group, you will: Contact customers to collect outstanding payments via phone, email, or mail; Negotiate payment plans and settlements within company guidelines; Monitor and follow up on overdue accounts in a timely and professional manner; Maintain accurate records of all collection activities and communications; Resolve billing disputes and escalate complex issues to appropriate departments; Collaborate with the sales, billing, and customer service teams to reconcile accounts; Generate regular reports on collection activity and account status...Hiring Immediately >>

Customer Support Representative - Work From Home

Entrepreneur Babes Wailuku, HI

[Customer Service / Remote] - Anywhere in U.S. / Competitive pay - As a Customer Support Rep at Entrepreneur Babes, you will: Respond to customer inquiries and concerns in a timely and professional manner; Communicate with customers through various channels such as email, phone, and chat; Provide product information and support to customers; Troubleshoot and resolve customer issues; Document and track customer interactions and resolutions; Maintain a positive and empathetic attitude towards customers; Collaborate with other team members to improve customer experience and processes...Hiring Immediately >>

PT Customer Support Representative - Work From Home

Clair Wailuku, HI

[Customer Service / Remote] - Anywhere in U.S. / $21.54 per hour - As a Customer Support Rep at Clair, you will: Answer questions over phone, text, and email, acting as a first line of support to our users; Resolve customer inquiries and complaints in a timely and professional manner; Collaborate with team members to identify and implement process improvements; Maintain accurate and detailed records of customer interactions; Escalate complex issues to the appropriate department for resolution; Continuously update knowledge of products and services to better assist customers...Hiring Immediately >>

FT Call Center Representative - Work From Home

Voya Financial Wailuku, HI

[Customer Service / Remote] - Anywhere in U.S. / $20 per hour / Medical, dental & vision / 401k match / PTO / Paid training - As a Call Center Rep at Voya Financial, you will: Handle inbound and outbound calls from customers in a professional and courteous manner; Provide accurate and timely information to customers regarding their accounts and financial products; Troubleshoot and resolve customer issues and concerns; Maintain detailed and accurate records of customer interactions; Follow company policies and procedures to ensure compliance and confidentiality; Collaborate with team members to achieve performance goals and maintain a positive work environment; Continuously develop knowledge and skills through training and coaching sessions...Hiring Immediately >>

FT Customer Care Representative - Work From Home

Jacuzzi Group Wailuku, HI

[Customer Service / Remote] - Anywhere in U.S. / $19 per hour / Medical, dental & vision / 401k match / PTO / Paid training - As a Customer Care Rep at Jacuzzi Group, you will: Answer incoming calls and emails from customers in a timely and professional manner; Provide exceptional customer service by addressing and resolving customer inquiries and concerns; Assist in scheduling service/ repair work for customers & providing updates; Utilize company resources and knowledge base to provide accurate and up-to-date information to customers; Document all customer interactions and follow up as needed; Collaborate with other departments to ensure customer satisfaction and issue resolution...Hiring Immediately >>

FT Customer Support Representative (Work From Home)

CrossFit Wailuku, HI

[Customer Service / Fully Remote] - Anywhere in U.S. / Up to $27 per hour + bonus / Full benefits - As a Customer Support Rep you'll: Provide concierge-style service to the CrossFit community, cultivating lifetime loyalty to the brand by fielding inquiry emails; Resolve (or escalate) customer inquiries, complaints, and feedback quickly and efficiently; Serve as the conduit from the CrossFit Games to the public and participants (athletes) who have questions or need information; Provide backend support for all virtual and in-person CrossFit Games competitions; Update macro's and write FAQ articles...Hiring Fast >>

Patient Financial Services Representative

LHH US Wailuku, HI

Job DescriptionJob DescriptionPatient Financial Services RepresentativePay Rate: $28-$29/hr | Must be local to MauiLHH is seeking an experienced Patient Financial Services Representative with strong Workers' Compensation (WC) and Third-Party Liability (TPL) billing expertise to support a leading healthcare system. This role is ideal for candidates who have hands-on experience with complex claim workflows, AR follow-up, and denial resolution within a professional billing environment.Position OverviewThe Patient Financial Services Representative is responsible for the full lifecycle of WC/TPL professional billing accounts, including claim submission, follow-up, denial management, and underpayment resolution. This position plays a critical role in ensuring accurate billing, timely reimbursement, and compliance with payer and regulatory requirements.Key ResponsibilitiesSubmit initial, corrected, and reconsidered WC/TPL claims in accordance with payer and regulatory guidelinesConduct timely follow-up on accounts receivable (AR) to ensure prompt paymentInvestigate and resolve denials, rejections, underpayments, liability disputes, and COB issuesCommunicate with customers/patients by phone or email regarding account status, benefits, and required actionsInterpret insurance benefits including deductible, coinsurance, and coverage detailsEscalate high-dollar or complex accounts to support revenue optimizationMaintain compliance with State/Federal regulations and internal policiesRequired SkillsStrong AR follow-up and trackingMedical insurance benefits knowledge (deductibles, coinsurance, COB)Analytical problem-solvingWC/TPL regulation knowledgeClaims processing & denial managementPreferred SkillsCustomer service experienceEPIC EHR experienceExcellent communication skillsHigh attention to detailQualificationsEducation:Required: High School DiplomaPreferred: Associate's or Bachelor's degree in Business, Finance, Accounting, or HealthcareExperience:Minimum 1 year of medical insurance claims processingKnowledge of Medicaid, Medicare, Commercial payors, Workers' Compensation, and TPL requiredSystems:Required: EHR experiencePreferred: EPIC EHRWork DetailsMust be local to Maui, HIShift Options:7:00am-3:30pm7:30am-4:00pm8:00am-4:30pmDress Code: Business casualTravel: NonePay Details: $28.00 to $29.00 per hourSearch managed by: Abigail Revalee Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/DisabledMilitary connected talent encouraged to applyTo read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacyThe Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:The California Fair Chance ActLos Angeles City Fair Chance OrdinanceLos Angeles County Fair Chance Ordinance for EmployersSan Francisco Fair Chance OrdinanceMassachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Customer Care Representative

Pacific Whale Foundation Wailuku, HI

Job DescriptionJob DescriptionJoin Our Team at One of Hawai’i’s Best Places to Work in 2024! Are you passionate about the environment and great with people? Pacific Whale Foundation is looking for dedicated individuals to join our team and be part of something bigger!Position: Customer Care Representative, (1) Full-Time and (1) Part-Time 20+ hours, Regular, Non-ExemptLocation: Ma’alaea, MauiPay: Starting at $16.00/hr + commission & tipsAbout Us:Pacific Whale Foundation is a 501(c)(3) nonprofit committed our mission of protecting the ocean through science and advocacy. Since 1980, we have made a significant impact on marine environments and wildlife across the Pacific region, including Hawaii, Japan, Australia, and Chile. Our mission is to inspire environmental stewardship and promote ocean conservation.What We Offer:Competitive pay with potential earnings through commission sales and tipsComprehensive benefits including PTO, health insurance, 401(k)Free ecotoursA fun, relaxed workplace environmentRole Overview:As a Customer Care Representative, you will ensure exceptional customer service for our guests while promoting company tours and activities.Key Responsibilities:Receive and manage reservation for guestsActively promote and sell cruises to meet sales goalsOversee customer check-ins and serve as "Welcome Ambassadors" including walking guests to vesselsOther Duties as AssignedQualifications:At least 6 months of experience in customer service or in a similar capacityWorking knowledge of reservation systems, Fareharbor platform preferred and ability to operate phone systemReliable and dependable personalityAbility to work well independently, multi-task, and adapt to a flexible schedule, including early or late shiftsKnowledge of basic accounting skillsCapable of standing or sitting for long periods and lifting up to 50lbsWhy Join Us?The work you do with Pacific Whale Foundation directly supports our mission to protect the ocean and promote environmental stewardship. This is more than just a job—it's an opportunity to contribute to meaningful change while enjoying a rewarding and supportive work environment.Ready to Dive In?If you are enthusiastic about our mission and meet the qualifications, we want to hear from you! Apply today to become a part of our dedicated team.Pacific Whale Foundation is an equal opportunity employer.Pacific Whale Foundation is an Equal Opportunity Employer. We are committed to the principles of equal employment opportunity and comply with all applicable federal, state, and local laws. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, ancestry, disability, genetic information, marital status, arrest and court record, domestic or sexual violence victim status, reproductive health decision-making, credit history, or any other protected category under federal, state, or local law.We welcome and encourage applicants from diverse backgrounds and are committed to fostering an inclusive, respectful, and equitable workplace.If you require reasonable accommodation in the application or hiring process, please contact us at [email protected] job offers are contingent upon completion of a background check.

Customer Service Representative (Remote) jobs in Wailuku