HEALTH CARE FINANCING (THIRD PARTY LIABILITY) ASSISTANT - EWA, OAHU (OHHI)

Job Opportunity at the State of Hawai'i

The State of Hawai'i is offering a job opportunity on the Island of Oahu with a salary of $4,078 to $5,157 per month (SR-15, Step C to I). This recruitment is part of the Operation Hire Hawaii (OH-HI) project, which features an expedited hiring process for job opportunities throughout Hawai'i.

Applications will be reviewed for legal authorization to work in the US. Those who pass the review will be referred to the hiring department for consideration. Interviews may be conducted at the departmental level, and all applicants will be notified of their selection or non-selection.

A thorough review of all applications will be conducted by the Department of Human Resources Development, and all applicants will be notified of the final disposition. Hiring rates will be based on availability of funds, the applicant's qualifications, and other relevant factors.

A continuous recruitment may be closed at any time, and the notice of the last day to file applications will be posted on the State of Hawaii's Civil Service Job Opportunities Listing page.

Duties Summary

Provide technical support for the Health Care Financing Third Party Liability (TPL) program; explain its policies, guidelines, and procedures to recipients, personnel of insurance companies, and other concerned parties; and perform other related duties as assigned. Positions in this class have regular contact with others within and outside the department in which tact is required and the employee assumes responsibility for harmonious relationships. In addition, a position in this class must exercise discretion in releasing information without adversely affecting the recipient's legal proceedings.

Minimum Qualification Requirements

To qualify, you must meet all of the following requirements : Legal Authorization to Work Requirement : The State of Hawaii requires all persons seeking employment with the government of the State shall be citizens, nationals, or permanent resident aliens of the United States, or eligible under federal law for unrestricted employment in the United States. Applicants must have progressively responsible experience of the kind and quality described in the statements below, or any equivalent combination of training and experience. Experience : Progressively responsible experience requiring the ability to read, comprehend, and apply written directions, or a high degree of verbal skill; and the ability to perform basic arithmetic computations, including percentages and averages. Claims Work Experience : One year of progressively responsible claims work experience in preparing and filing claims for medical or other insurance payments including ensuring that procedural and regulatory requirements are met, or clerical work experience in reviewing claims for insurance payments (medical, automobile, workers' compensation, etc.) including verifying that all procedural and regulatory requirements are met. Third Party Liability Experience : Two years of progressively responsible clerical work experience which involved reviewing medical payment data; pursuing reimbursement of costs in third party liability cases; and working effectively with attorneys, investigators, insurance personnel, and others in resolving problems.

The State of Hawai'i complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If you require reasonable accommodations in completing an application, any pre-employment testing, or otherwise participating in the selection process, please call 808-587-0936 for assistance.

The Department of Human Resources Development (HRD) will use electronic mail (email) to notify applicants of important information relating to the status and processing of their applications as part of our ongoing efforts to increase operational efficiency, promote the conservation of green resources, and minimize delays and costs. Please ensure that the email address and contact information you provide is current, secure, and readily accessible to you.

The examination for this recruitment will be conducted on an unassembled basis where the examination score is based on an evaluation and rating of your education and experience. It is therefore important that your employment application provide a clear and detailed description of the duties and responsibilities of each position you held.

In-person interviews and / or further testing in Hawaii may be required at the discretion of the hiring agency. If in-person interviews and / or further testing is a requirement, applicants who meet the minimum qualification requirements and are referred to the vacancy must be available to participate in person and at their own expense in this required phase of the selection process. Applicants are encouraged to submit their applications as soon as possible.