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Account Servicing Advocate I at HMSA
Honolulu, Hawaii, United States -
Full Time

Start Date

Immediate

Expiry Date

05 Jan, 26

Salary

0.0

Posted On

07 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Enrollment, Eligibility, Billing, Communication, Attention To Detail, Microsoft Office, Quality Assurance, Customer Satisfaction, Research, Collaboration, Education, Audits, Discrepancy Resolution, Training, Problem Solving, Workflow Solutions

Industry

Insurance

Description
1. Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: * Researching and collaborating with other units or departments to find a solution * Accurately updating member records * Contacting external partners who provide services for/to HMSA's members * Providing member or group education on enrollment, billing (bill resentment) and bill payment 2. Support unit in performing enrollment and billing reconciliations activities for purpose of identifying discrepancies and initiating accurate and timely correction/resolution of internal as well as external processing systems. Support unit in daily enrollment functions to include processing of enrollments, disenrollment's and maintenance for members. Perform quality assurance audits of customer inquiries and member updates within constrained timeframes. Based on patterns or risk assessment, recommend improvement opportunities to provide processing efficiency and increase customer satisfaction. These can include but are not limited to identifying processing or servicing issues that can be addressed by a system or a workflow solution 3. Training and Development 4. Performs all other miscellaneous responsibilities and duties as assigned or directed. Qualifications 1. Associate's degree and one year of related work experience or equivalent combination of education and experience. 2. Effective verbal and written communication skills. 3. Requires attention to detail and the ability to work on multiple projects simultaneously. 4. Working knowledge of general office practices and procedures. 5. Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.
Responsibilities
The Account Servicing Advocate I resolves enrollment, eligibility, and billing issues for members and employer groups through various communication channels. They also support enrollment and billing reconciliations and perform quality assurance audits.