Billing Representative II

Premium Billing Rep II

The Premium Billing Rep II is responsible for performing premium billing functions that involve increased complexity and require a higher level of knowledge, analysis, and judgment within established guidelines. This position processes premium billing transactions, researches and resolves billing discrepancies, maintains accurate billing records, and provides timely and professional service to internal and external customers. The role works collaboratively with internal departments to support billing accuracy, department operations, and workflow continuity.

• Process premium billing transactions, including payments, adjustments, and account updates, ensuring accuracy and completeness of billing records

• Research, analyze, and resolve billing discrepancies, including reconciliation of billing, eligibility, and payment variances

• Review and maintain accurate account information and documentation within billing systems according to established procedures

• Support monthly premium invoice preparation and assist with identifying and resolving billing-related issues

• Respond to premium billing inquiries from internal and external customers by phone, email, and in-person interactions in a professional and timely manner

• Coordinate with internal departments to resolve account-related issues and maintain billing accuracy

• Maintain documentation to support reporting, compliance, and audit readiness

• Apply knowledge of billing processes and procedures to identify issues, recommend solutions, and support operational efficiency

• Provide backup support for billing functions and perform other related duties as assigned

• High school diploma or equivalent

• Minimum two (2) years of recent customer service and/or billing-related experience

• Proficiency in Microsoft Office applications and general computer systems

• Strong verbal, written, and interpersonal communication skills

• Ability to perform mathematical calculations involving percentages, ratios, and account balances

• Ability to use a ten-key machine by touch

• Familiarity with computerized accounting and billing systems

• Strong attention to detail, organization, and time-management skills

• Ability to learn, adapt to, and effectively use billing systems, tools, and processes

• Ability to analyze information, resolve discrepancies, and exercise sound judgment within established guidelines

• Associate degree

• Working knowledge of basic accounting principles

• Experience with premium billing, healthcare billing, or related financial processes

• Eligible to work from home subject to management approval

** This position requires residency on Oʻahu, Hawaiʻi

Competitive compensation & excellent benefits offered