Billing Specialist

What are some of the perks once you become part of this awesome team?

• Fixed weekends off
• HMO within first month of employment
• Insurance coverage upon regularization
• Paid time off even during probationary period
• Fun onsite and virtual activities/events
• Open door policy with avenues to gather employee feedback
• Highly performance-driven work environment, encouraging promotions from within
• Various learning and personal/professional growth and development opportunities

*We are offering a hybrid work arrangement! The company will also be providing the PC and equipment needed. Although during your first month (or until the HLM approves of the transition), you will be reporting on-site to complete company and/or client-required trainings. With this, the following requirements will be required prior the on-boarding:*

• Minimum of 25mbps internet speed (actual bandwidth via speed test) *higher than 25mbps would be required if there will be other people in the household who would be either working from home or heavily using the internet during your shift
• Dedicated space or room with good ventilation for the PC set-up.
• Table that can fit two 24" monitors and a chair, ideally positioned close to the outlet and internet modem
• Work from home location is within NCR.

General Objective:

Responsible for retrieving, preparing benefits administration reports, carrier invoices, creating monthly consolidated statements for clients and sending emails to carrier and HR system contacts to attempt to correct a discrepancy following client-specific and standard procedures, ensuring 100% accuracy, and meeting established timelines.

What are some of the responsibilities?

• Preparing carrier invoices for clients who self-insure their benefit plans, and providing eligibility roster and backup support in PDF format or the format requested by the client
• Reviewing carrier invoices for every assigned client to ensure correct reflection of prior month's premium payment
• Analyzing each carrier billing's information per process workflow and communicating discrepancies or data issues to the client/counterpart for clarification or identification of what action to take
• Performing daily and timely resolution of all client inquiries/Freshdesk tickets/Responding to emails of counterparts
• Following up on billing rule issues with the client
• Identifying discrepancies and performing line-by-line reconciliations based on client requirements and schedule.
• Work with carriers and counterparts to attempt to correct a discrepancy identified
• Monitoring of corrections the following billing month after corrective notice was sent to carrier/enrollment system contacts.
• Providing escalation report to client for persistent discrepancies that are unresolved despite corrections sent prior billing month.

What are the ideal requirements?

• Bachelor's degree Finance/Accounting/Management/BS Math/Economics/Statics
• 1-2 years of experience in the US Healthcare industry or equivalent work experience with invoicing, discrepancy reconciliation, insurance and employee benefits
• Proven comfort level with learning and working with various computer applications, specifically MS Excel (intermediate level)
• Fresh graduates may be considered!