Adjustment Clerk jobs in Hawaii

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)

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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

     

  • 25 Days Ago

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Clerk
  • The Postal Service
  • Kapaʻa, HI FULL_TIME
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1...
  • Just Posted

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Clerk
  • Hyperion Biotechnology
  • Schofield Barracks, HI FULL_TIME
  • Hyperion Biotechnology, Inc. has been providing services to federal government customers for over 20 years. Our customers receive comprehensive services to meet the specified requirements of their pro...
  • Just Posted

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Clerk
  • CGI
  • Harbor, HI FULL_TIME
  • Position Description : A Logistics Clerk will report to the Logistics Supervisor to complete all tasks assigned related to logistics. The tasks will be related to supporting internal and external cust...
  • 2 Months Ago

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Logistics Clerk
  • CGI Group, Inc.
  • Harbor, HI FULL_TIME
  • Logistics Clerk Position Description A Logistics Clerk will report to the Logistics Supervisor to complete all tasks assigned related to logistics. The tasks will be related to supporting internal and...
  • 15 Days Ago

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Accounting Clerk
  • Robert Half
  • Honolulu, HI PER_DIEM
  • Robert Half is looking to hire an Accounting Clerk for an influential organization in the Real Estate Property/Facilities Mgt industry. The duties of this role include matching invoices to purchase or...
  • 16 Days Ago

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FL Smithe Envelope Machine Adjustor
  • Northeastern Envelope Co.
  • Old Forge, PA
  • Job Description Job Description We are seeking an Envelope Machine Adjustor to join our team! You will operate adjust an...
  • 4/24/2024 12:00:00 AM

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Senior Accounting Supervisor
  • Bozeman Health
  • Bozeman, MT
  • Position Summary: The Senior Accounting Supervisor is responsible for maintaining the Bozeman Health financial system to...
  • 4/24/2024 12:00:00 AM

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Adjuster
  • Gibson Brands, Inc.
  • Nashville, TN
  • **Adjuster** Nashville, TN US Regular Full Time **Adjuster** The Adjuster position ensures that the Gibson Brands Operat...
  • 4/23/2024 12:00:00 AM

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CASHIER/ADJUSTOR DIETARY (PD Varied)
  • Universal Health Services, Inc.
  • RECRUITING ALERT: We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospita...
  • 4/22/2024 12:00:00 AM

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Adjuster
  • Insurance Administrative Solutions, L.L.C.
  • Rome, GA
  • **ABOUT INSURANCE ADMINISTRATIVE SOLUTIONS**Insurance Administrative Solutions (IAS) is a third-party provider of compre...
  • 4/21/2024 12:00:00 AM

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Adjuster
  • FM Global Group
  • Park Ridge, IL
  • **Adjuster** Claims, Other Careers **Job ID** 2021-11212 Park Ridge, Illinois 02/19/2022 **More information about this j...
  • 4/21/2024 12:00:00 AM

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Claims Adjuster - Auto Claims
  • GSFSGroup
  • Houston, TX
  • LIVING OUR VALUES All associates are guided by Our Values. Our Values are the unifying foundation of our companies. We s...
  • 4/21/2024 12:00:00 AM

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Adjuster
  • Rain and Hail
  • Job Description - Adjuster (344552) **Job Description** Adjuster ( **Job Number:** 344552 ) **Description** Work claims ...
  • 4/20/2024 12:00:00 AM

Hawaii (/həˈwaɪi/ (listen) hə-WY-ee; Hawaiian: Hawaiʻi [həˈvɐjʔi]) is the 50th and most recent state to have joined the United States, having received statehood on August 21, 1959. Hawaii is the only U.S. state located in Oceania, the only U.S. state located outside North America, and the only one composed entirely of islands. It is the northernmost island group in Polynesia, occupying most of an archipelago in the central Pacific Ocean. The state encompasses nearly the entire volcanic Hawaiian archipelago, which comprises hundreds of islands spread over 1,500 miles (2,400 km). At the southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$34,481 to $42,815

Adjustment Clerk in Salisbury, NC
The affected positions are the city's public-services director and the clerks for city council, the mayor's court and the police department.
January 10, 2020
Adjustment Clerk in Altus, OK
Bookkeeping, accounting, and auditing clerks produce financial records for organizations.
February 09, 2020
Adjustment Clerk in Davenport, IA
This Being an Adjustment Clerk is Like Riding a Bike Funny Job Unisex T Shirt is provided on quality cotton.
December 30, 2019