Top 54 Medical billers & Jobs in Hawaii

Senior Claim Benefit Specialist - Remote
CVS Health —Hawaii
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
ACCOUNTS RECEIVABLE (AR) & BILLING SPECIALIST- $30/HR + FULL MEDICAL AND DENTAL
HTM Contractors —Honolulu, HI
- $30 an hour
- Online Application
- Mid-level
- Residential
- Organizational skills
- Profit sharing
- Paid holidays
Quick Apply
Insurance Specialist 3 - Long Term Care Biller (REMOTE)
CorroHealth Inc —Honolulu, HI
- 8 hour shift
- Remote
- 5 years
- Basic math
- Research
- Paid parental leave
- Paid holidays
Quick Apply
HOSPITAL BILLING CLERK I - OAHU
State of Hawaii —O'ahu, HI
- $3,333 - $4,221 a month
- Urgently hiring
- Hospital
- US work authorization
- Military encouraged
- Mileage reimbursement
- Commuter assistance
Medical Records Technician II (Certified)
Kuakini Medical Center —Honolulu, HI
- $42.76 an hour
- 8 hour shift
- Hospital
- Pass drug screening
- Mid-level
CLAIMS
CareResource Hawaii —Honolulu, HI
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid training
- AD&D insurance
Coordinator, Business Practice - Medical Group (Full Time, 40, Day)
Queen's University Medical Group —Honolulu, HI
- $72,295 - $88,561 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
Medical Biller
MovementPlus Physical Therapy —‘Aiea, HI
- $21 - $28 an hour
- Full-time
- Mid-level
- Organizational skills
- In-person
- Health insurance
- Dental insurance
Quick Apply
Claims Reimbursement Specialist - Business Office, CareResource Hawaii (Full Time, 40, Day)
CareResource Hawaii —Honolulu, HI
- Full-time
- Microsoft Outlook
- Computer literacy
- English
PAS
CareResource Hawaii —Honolulu, HI
- Full-time
- English
- High school diploma or GED
- 1 year
- Paid training
- AD&D insurance
Workers Compensation Claims Examiner II
TRISTAR SERVICES ASSOCIATES OF HAWAII INC —Honolulu, HI
- $70,000 - $85,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Writing skills
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
Medical & Dental Biller
Waikiki Health —Honolulu, HI
- $24 an hour
- Full-time
- Mid-level
- High school diploma or GED
- 2 years
- Commuter assistance
- Paid holidays
Quick Apply
Professional Coding & Doc Auditor - Prof Coding Svcs_QHS (Full-Time, 40 Hours, Day Shift)
The Queens Health Systems —Honolulu, HI
- $31.60 - $38.71 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Organizational skills
Medical Billing
Fertility Institute of Hawaii —Hawaii
- Weekends as needed
- Computer literacy
- Office
- Computer skills
Epic Denials Management Operator
Deloitte —Honolulu, HI
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Claims Associate - Workers Compensation (On-Site Honolulu, HI)
Sedgwick —Honolulu, HI
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Patient Account Specialist - CareResource Hawaii Administration (Full-Time, 40, Day)
CareResource Hawaii —Honolulu, HI
- Full-time
- English
- Office
- High school diploma or GED
Professional Billing Specialist ( Full-Time, 40, Day)
The Queens Health Systems —Honolulu, HI
- $24.54 - $29.08 an hour
- Full-time
- Hospital
- English
- Office
2d
ED/Outpatient Coder & Abstractor (Full-Time, 40, Day)
The Queens Health Systems —Honolulu, HI
- $33 an hour
- Full-time
- Anatomy knowledge
- HIPAA
- Mid-level
Manager, Billing
Hawaii Dental Service (HDS) —Honolulu, HI
- 5 years
- Writing skills
- HIPAA

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Senior Claim Benefit Specialist - Remote

CVS Health -
Hawaii

Apply Now

Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

medical billers & jobs in hawaii

Senior Claim Benefit Specialist - Remote

ACCOUNTS RECEIVABLE (AR) & BILLING SPECIALIST- $30/HR + FULL MEDICAL AND DENTAL

Insurance Specialist 3 - Long Term Care Biller (REMOTE)

HOSPITAL BILLING CLERK I - OAHU

Medical Records Technician II (Certified)

CLAIMS

Coordinator, Business Practice - Medical Group (Full Time, 40, Day)

Medical Biller

Claims Reimbursement Specialist - Business Office, CareResource Hawaii (Full Time, 40, Day)

PAS

Workers Compensation Claims Examiner II

Medical & Dental Biller

Professional Coding & Doc Auditor - Prof Coding Svcs_QHS (Full-Time, 40 Hours, Day Shift)

Medical Billing

Epic Denials Management Operator

Claims Associate - Workers Compensation (On-Site Honolulu, HI)

Patient Account Specialist - CareResource Hawaii Administration (Full-Time, 40, Day)

Professional Billing Specialist ( Full-Time, 40, Day)

ED/Outpatient Coder & Abstractor (Full-Time, 40, Day)

Manager, Billing

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