Health Care Services Specialist II: Prior Auth & Admin

Socket.dev; Honolulu (HI); On-site; USD 60,752,000 - 72,784,000; Full time

Benefits offered by this job

Competitive compensation

Excellent benefits

Job summary

UHA is seeking a Health Care Services Specialist II to provide administrative and customer service support across its Health Care Services Department. You will handle prior authorizations, claims-related information, and inquiries while maintaining confidential clinical data.

The role suits detail-oriented professionals who thrive in a fast-paced healthcare setting. The position offers full-time, non-exempt status with competitive benefits and family health insurance coverage.

Qualifications

• High school diploma or equivalent.
• Two years of administrative or clerical experience, preferably in a healthcare-related setting.
• Strong customer service and communication skills.
• Excellent attention to detail, organization, and accuracy.
• Ability to manage multiple priorities and meet time-sensitive deadlines.
• Comfortable communicating with members and healthcare provider offices by phone.
• Ability to handle confidential and sensitive information appropriately.
• Willingness and ability to learn healthcare benefits, policies, procedures, and systems.

Responsibilities

• Process and review prior authorization requests and hospital admission information for accuracy and completeness.
• Respond to incoming calls from members and provider offices with professionalism, empathy, and timely assistance.
• Research member and provider inquiries and coordinate with the appropriate team to help resolve issues.
• Process time-sensitive faxes, provider portal requests, claim reviews, and other Health Care Services documentation.
• Prepare letters and other written communications related to completed clinical reviews.
• Maintain accurate electronic records while protecting confidential and sensitive health information.
• Support the Clinical Team with daily inpatient hospital census information and other administrative needs.
• Assist with department correspondence, reports, educational materials, policies, procedures, and special projects.
• Collaborate with other UHA departments and serve as a resource for Health Care Services-related questions.

Skills

Customer service

Communication skills

Attention to detail

Organization

Multitasking

Confidential information handling

Education

High school diploma

Associate degree (preferred)

Job description

UHA is seeking a Health Care Services Specialist II to provide administrative and customer service support across its Health Care Services Department. You will handle prior authorizations, claims-related information, and inquiries while maintaining confidential clinical data.

The role suits detail-oriented professionals who thrive in a fast-paced healthcare setting. The position offers full-time, non-exempt status with competitive benefits and family health insurance coverage.