Adjustment Clerk jobs in Honolulu, HI

Adjustment Clerk reviews and follows up on customer complaints regarding account balances and uncredited items. Analyzes associated documents and makes necessary adjustments to accounts and/or recommendations to resolve customer issues. Being an Adjustment Clerk communicates results of findings to customer. Requires a high school diploma or its equivalent. Additionally, Adjustment Clerk typically reports to a supervisor or manager. The Adjustment Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

H
Manager, Medicare Risk Adjustment
  • HMSA
  • Honolulu, HI FULL_TIME
    1. Leadership and Performance Management
      • Develops short-term and long-term strategies to meet risk adjustment accuracy goals and requirements.
      • Works internally, and with BCBSA, providers, and vendors to review programs, processes, and data collection for improvement opportunities.
      • Manages the production of performance dashboards to monitor and report ongoing performance against targets. Adjusts as needed to ensure goals are met.
      • Ensures processes and documentation supports risk adjustment program requirements.
      • Supports internal and external teams as a subject matter expert of Medicare Advantage Risk Adjustment.
      • Manages necessary changes to existing systems, operations or workflows to address new/revised requirements of CMS/DHS/MQD.
      • Structures work plans and project scope to deliver business impact on high priority issues.
      • Addresses any identified deficiencies in current program quality and administration.
      • Directs regular organization-wide training to develop staff in other key departments as risk adjustment subject matter experts in context of department work.
      • Meet as needed with the Vice President and Director to review progress, report key results and program performance measures and to reestablish priorities.
      • Conducts regulatory analyses and facilitates requirement development, and implementation tracking.
      • Contributes to the development of business strategies for the Medicare line of business.
    2. Effective management of staff
      • Oversees and manages workflows to ensure that services and requests are handled consistently, effectively, and efficiently in order to minimize risks to members and the organization. Documents workflows and work processes.
      • Manages risk adjustment team members and vendors in order to achieve program and project goals. Adjusts roles and responsibilities as needs change.
      • Responsible for ensuring that Medicare Programs contract is meeting risk adjustment requirements established by CMS.
      • Performs various employee management functions including but not limited to; talent management, development, performance reviews, and handles any related adjustments to salary or job description.
    3. Cross-Functional Integration and Communication
      • Acts as the leader and champion of risk adjustment interventions.
      • Develops strong partnerships with key areas throughout the organization and external partners to continually improve risk adjustment accuracy performance.
      • Provides education and information to the entire HMSA community regarding Medicare Advantage risk adjustment. Communicates performance results to all levels of staff including executive management as needed.
    4. Other Duties/Functions
      • Performs all other miscellaneous responsibilities and duties as assigned or directed.
    #LI-Hybrid

     

  • 1 Month Ago

J
FIELD AGENT / COURIER / NOTARY / DOCUMENT DELIVERY
  • J.M. ADJUSTMENT SERVICES, L.L.C.
  • Waianae, HI FULL_TIME
  • FIELD AGENT / COURIER / NOTARY / DOCUMENT DELIVERY - Entry Level, No Experience Required, Work from Home, Flexible Hours, Part Time 18 hours ago
  • 23 Days Ago

K
Clerk
  • KTA Super Stores
  • Hilo, HI FULL_TIME
  • Job Details Job Location KTA Puainako Store 3 - Hilo, HI Position Type Part Time Salary Range $16.00 - $17.00 Hourly Description PRIMARY RESPONSIBILITY The primary responsibility of a POS Clerk is to ...
  • 17 Days Ago

T
Seafood Clerk
  • Times Supermarkets
  • Waimea, HI FULL_TIME
  • Under the direction of the department head and/or manager, the Seafood Clerk provides customers with friendly and efficient service. The Seafood Clerk receives, cleans, prepares, packages, wraps, pric...
  • 19 Days Ago

H
Accounting Clerk
  • Helping Hands Hawaii
  • Honolulu, HI PART_TIME
  • The Accounting Clerk is responsible for maintaining the Company's accounting records on a timely basis, which includes the general ledger, accounts receivable and accounts payable ledger, trial balanc...
  • 19 Days Ago

T
Stock Clerk
  • TJ's Warehouse
  • Wailuku, HI FULL_TIME
  • Pay: $19.00 per hourEntry Level Stock Clerk PositionQualifications:Must have basic computer and cashiering skillsMust have good customer service skillsMust be able to lift 50 poundsBenefitsHealth insu...
  • 19 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Adjustment Clerk jobs found in Honolulu, HI area

R
Claims Adjuster
  • RemX The Workforce Experts
  • Honolulu, HI
  • Job Description Job Description We are seeking an onsite Pharmacy Claims Adjuster to become a part of our organization! ...
  • 3/29/2024 12:00:00 AM

M
Independent Insurance Claims Adjuster in Honolulu, Hawaii
  • MileHigh Adjusters Houston Inc
  • Honolulu, HI
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

M
Independent Insurance Claims Adjuster in Kailua, Hawaii
  • MileHigh Adjusters Houston Inc
  • Kailua, HI
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

M
Independent Insurance Claims Adjuster in Aiea, Hawaii
  • MileHigh Adjusters Houston Inc
  • Aiea, HI
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

M
Independent Insurance Claims Adjuster in Mililani, Hawaii
  • MileHigh Adjusters Houston Inc
  • Mililani, HI
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

M
Independent Insurance Claims Adjuster in Kaneohe, Hawaii
  • MileHigh Adjusters Houston Inc
  • Kaneohe, HI
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

M
Independent Insurance Claims Adjuster in Kapolei, Hawaii
  • MileHigh Adjusters Houston Inc
  • Kapolei, HI
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

M
Independent Insurance Claims Adjuster in Waianae, Hawaii
  • MileHigh Adjusters Houston Inc
  • Waianae, HI
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

Honolulu (/ˌhɒnəˈluːluː/; Hawaiian: [honoˈlulu]) is the capital and largest city of the U.S. state of Hawaiʻi. It is an unincorporated part of and the county seat of the City and County of Honolulu along the southeast coast of the island of Oʻahu.[a] The city is the main gateway to Hawaiʻi and a major portal into the United States. The city is also a major hub for international business, military defense, as well as famously being host to a diverse variety of east-west and Pacific culture, cuisine, and traditions. Honolulu is the most remote city of its size in the world and is the westernmost...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$34,356 to $42,665
Honolulu, Hawaii area prices
were up 1.9% from a year ago

Adjustment Clerk in Columbus, GA
Council member Bernard Brush said the issue of low salaries for the clerks and service director has been on council's radar for several years.
December 25, 2019
Adjustment Clerk in Saint Cloud, MN
The title adjustment clerk is given solely for the reason that these individuals provide adjustment in lieu of advice.
February 19, 2020
Adjustment Clerk in Port Arthur, TX
An Adjustment Clerk performs a variety of research functions and meets established standards for production and quality.
February 16, 2020