Account Servicing Advocate I

HMSAHonolulu, HI

About The Position

This role focuses on resolving enrollment, eligibility, and billing issues for members, employer groups, and third-party administrators. The advocate will research solutions, update records, contact external partners, and educate members on enrollment and billing processes. Additionally, the position supports reconciliation activities, daily enrollment functions, and performs quality assurance audits to identify areas for improvement in processing efficiency and customer satisfaction.

Requirements

  • Associate's degree and one year of related work experience or equivalent combination of education and experience.
  • Effective verbal and written communication skills.
  • Attention to detail and the ability to work on multiple projects simultaneously.
  • Working knowledge of general office practices and procedures.
  • Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.

Responsibilities

  • 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.
  • 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, disenrollments and maintenance for members.
  • Perform quality assurance audits of customer inquiries and member updates within constrained timeframes.
  • Recommend improvement opportunities to provide processing efficiency and increase customer satisfaction based on patterns or risk assessment.
  • Training and Development.
  • Performs all other miscellaneous responsibilities and duties as assigned or directed.
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