Member Advocacy & Appeals Support Specialist II

Hawaii Medical Service Association; Honolulu (HI); On-site; USD 42,000 - 78,000; Full time

Job summary

Hawaii Medical Service Association is seeking a full-time Administrative Support role within the Member Advocacy and Appeals department. The position provides high-level administrative and clerical support, ensuring efficient intake, case creation, and timely handling of complex member and provider inquiries.

Minimum qualifications include an associate's degree (or equivalent) with 1 year of related experience, plus strong communication skills and solid proficiency in Word, Excel, and Outlook.

Qualifications

• Associate's degree and one year of related experience; or an equivalent combination of education and related work experience.
• Strong verbal and written communication skills
• Basic working knowledge of Microsoft Office applications including Word, Excel, and Outlook.

Responsibilities

• Handles intake processes for department cases involving confidential issues in a time-sensitive environment.
• Intake of member and provider calls, faxes, email correspondence, and internal referrals; evaluate information and ensure timely case creation.
• Conduct analysis of sensitive member and provider appeals, inquiries and grievances and apply internal policies and regulatory requirements.
• Creates and maintains accurate electronic case files for appeals and grievances within policy and regulatory timeframes.

Skills

Communication skills

Education

Associate's degree or equivalent

Tools

Microsoft Office

Job description

Hawaii Medical Service Association is seeking a full-time Administrative Support role within the Member Advocacy and Appeals department. The position provides high-level administrative and clerical support, ensuring efficient intake, case creation, and timely handling of complex member and provider inquiries.

Minimum qualifications include an associate's degree (or equivalent) with 1 year of related experience, plus strong communication skills and solid proficiency in Word, Excel, and Outlook.