Job Details

Job Description

Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand message and commitment to service excellence.

Effectively and independently analyze and research inquiries from customers (internal and external) relating to billing and payments processed by cashiers. Handle customer inquiries (internal and external) by responding to their needs quickly and efficiently. Requires broad understanding of HMSA's business, including the Hawaii Health Connector, HMSA online storefront, LRSP, QNXT, and ancillary systems. Provide quality service in line with HMSA's mission and vision.

Assist in bill production for individual subscribers and groups, including cycle billing and demand billing. Perform reconciliations and audits to ensure the billing system, A/R system, and electronic bill presentment system are in balance. Independently resolve any identified variances.

Process mailed-in group and direct payments from members and groups. Process rejected and unprocessed payments from Bank of Hawaii Lockbox. Process miscellaneous payments from other departments: Medicaid, Workshops, Administrative Services Only, Long Term Care, etc. Process medical refund checks (HMSA or other) mailed-in by members and providers. Process miscellaneous checks from Finance & Accounting units. Process member Automatic Dues Payment Set-up (DPS) and mailing notification letters. Process QNXT Unapplied Cash Payments. Balance and reconcile deposits, and record payments to various general ledger accounts.

Review and conduct analyses to assist the department in maintaining an efficient delinquency and cancellation process for individual subscribers and groups. Includes monitoring delinquent subscribers and groups, generating and mailing delinquency and cancellation letters, and ensuring that canceled accounts are reconciled accurately.

Process routine enrollment and group or subscriber maintenance transactions submitted in the HMSA Centers.

Process returned checks, agent fee bills, and issue petty cash. Balance cash daily and replenish till monthly. Record expenses to proper operating expense general ledger account. Make corrections as needed.

Perform all other miscellaneous responsibilities and duties as assigned or directed.

Qualifications

• Associate's degree or an equivalent combination of education and related work experience.
• Strong verbal and written communication skills.
• Basic knowledge of Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint.
• Must have an acceptable credit report due to exposure to cash transactions and negotiable instruments. (This is a condition of employment.)