Senior Outsourcing Billing Specialist

SUMMARY

Responsible for supporting the daily operations of the outsourcing team’s billing and accounting administration, banking and carrier relationships, team reporting, and eligibility processing. Maintains personal book of business with health and welfare benefit plans as needed by providing excellent customer service and managing client benefits calendar, including compliance, strategy, renewal, and Open Enrollment deliverables.

ESSENTIAL DUTIES AND RESPONSIBILITIES

•    Responsible for the outsourcing team’s accounts payable process associated with servicing clients’ benefits insurance invoicing, including the management and maintenance of premium payment reconciliation, working directly with carriers on behalf of clients, reconciling client accounts for accurate coverage and rates, and ensuring client premiums are paid timely and accurately.

•    Supports all cash management functions including deposit tracking.

•    Oversees Carrier banking information and contacts.

•    Audits deposits against check registers and Consolidated Billing Statements (CBS) invoices for all clients.

•    Reviews all account debit/credits.

•    Completes monthly ach/e-check payments, refunds, voids, and reissues.

•    Initiates monthly autopay for all clients.

•    Assists outsourcing department manager with staff training, tracking, monitoring team workflow, and working with the team to resolve escalated billing issues and calculation problems.

•    Reviews completed CBS files before sending them to clients.

•    Fosters and manages the overall relationship with clients ensuring strong retention and client satisfaction.

•    Manages client benefit inquiries and resolves escalated service issues.

•    Meets with clients for pre-renewal strategy, proposal delivery, and explanation.

•    Analyzes market proposals for verification of benefits, premiums, and competitiveness.

•    Negotiates with markets for benefits premium concessions.

•    Reviews coverage contracts for accuracy of policy provisions.

•    Conducts client open enrollment meetings and answers questions regarding benefit coverage.

•    Manages new carrier and plan implementations for the book of business.

•    Ensures delivery of claims experience and utilization reports and reviews for accuracy.

•    Assist with vendor verifications while onboarding new clients.

•    Complies with agency management system data standards and integrity (enters and maintains complete and accurate information).

•    Other duties as assigned.

QUALIFICATIONS

EDUCATION / EXPERIENCE

Bachelor’s degree or equivalent combination of education and experience

Seven (7) or more years of experience in Benefits administration and billing

Experience in training new employees and leadership skills

Experience with premium payment reconciliation, and administering COBRA and benefits eligibility in BeneTrac or similar online benefits administration software

Experience with QuickBooks Online and Bill.com/Cashflow

SKILLS

Strong knowledge of generally accepted accounting procedures and principles

Alliant Insurance Services

Knowledge of employee benefits insurance, eligibility, and Consolidated Omnibus Budget Reconciliation Act (COBRA) guidelines

Strong verbal and written communication skills

Strong analytical skills

Good problem solving and time management skills

Ability to work successfully as a member of a team and independently

Ability to compile, organize, interpret, and communicate data and results concisely

Ability to learn, leverage, and troubleshoot systems and software tools

Ability to accurately prepare and maintain records, files, and reports

Proficient in Microsoft Office Suite

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