Accounts Receivable Representative

HMSA; Honolulu (HI); On-site; USD 42,000 - 62,000; Full time

Job summary

HMSA Center in Hawaii seeks a billing specialist to independently process group and direct payments from walk-in members and groups, ensuring an exceptional HMSA Center experience. You will analyze inquiries related to billing and payments, respond quickly, and understand HMSA's systems and brand promise.

You will assist in bill production for subscribers and groups, perform reconciliations, process mailed payments and DPS, and help maintain efficient delinquency and cancellation processes.

Responsibilities

• Independently process group and direct payments from walk-in members and groups while providing an exceptional HMSA Center experience.
• Analyze and research inquiries from customers relating to billing and payments; respond promptly to needs; understand HMSA systems.
• Assist in bill production for individual subscribers and groups; perform reconciliations to balance billing, A/R, and electronic bill presentment systems.

Job description

1. 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.
2. 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.
3. Assist in bill production for individual subscribers and groups, including cycle billing and demand billing. Performs reconciliations and audits to ensure the billing system, A/R system, and electronic bill presentment system are in balance. Independently resolves any identified variances.
4. 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.
5. 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 cancelled accounts are reconciled accurately.
6. Process routine enrollment and group or subscriber maintenance transactions submitted in the HMSA Centers.
7. Processes returned checks, agent fee bills, and issues petty cash. Balance cash daily and replenish till monthly. Record expenses to proper operating expense general ledger account. Make corrections as needed.
8. Performs all other miscellaneous responsibilities and duties as assigned or directed