Premium Billing Analyst

The Senior Premium Billing Analyst is a core member of the Billing Operations team. This role completes monthly reconciliations, process billing reports for all healthcare benefits, and prepares detailed reports for distribution to insurance carriers, brokers, and clients. This role performs audits of bills and client configuration to ensure accurate calculation and invoicing of charges.  The Senior Premium Billing Analyst interacts with clients as a customer post of contact, liaise with third-party vendors, and work with internal teams during onboarding and implementation of new clients. 

Responsibilities include: 

• Act as the point of contact for client and carrier support providing autonomous client and carrier support, liaising with both parties to determine and set appropriate billing deadlines and timelines 
• Assist team lead with Metrics 
• Assist with other duties and projects as required, which may include review and enhancement of database and processes used in order to increase team efficiencies 
• During new client implementations, provide guidance and sole decision-making authority regarding billing, as well as determining whether to meet ad hoc and/or customization requests by the client or carrier 
• Ensure billing support is provided within applicable Service Level Agreements and other contractual requirements 
• Handle Premium Billing inbox assisting answering clients in premium billing questions and resolving any client escalations 
• Must be able to work outside of normal work hours to support clients in varying time zones 
• Participate in yearly open enrollment updates  
• Provide team support for internal quality control reviews 
• Serve as a mentor to other Premium Billing team members, sharing knowledge and skill set 
• Serve as trainer 
• Support continuous improvement efforts to drive greater efficiency of billing operations 
• Using department guidelines and goals, make decisions on how to improve client relationships and products, and implement those suggestions autonomously 
• Work closely with employers, carriers, and internal teams to resolve billing and enrollment related issues. 

Necessary Strengths, Skills, and Competencies  

• 1 or more years of SAAS (Software as a Service) utilization 
• 2 years’ experience in accounting, billing, or equivalent position required 
• 3 or more years’ experience in benefits administration including enrollment processing and/or carrier billings 
• Ability to act and conduct business as a single point of contact 
• Ability to make independent decisions to meet the needs of client and carrier requests 
• Ability to multi-task and manage priorities 
• Ability to thrive in a flexible work environment and to adapt to change 
• Ability to work independently and as part of a team 
• Critical thinking and creative problem-solving skills 
• Excellent verbal and written communication skills; ability to communicate effectively with different levels within the organization as well as collaborate with cross-functional business partners and technical teams 
• Experience in a customer service setting 
• Experience in using SalesForce 
• Experience using a web-based benefits platform 
• Proficient in MS Office, especially Excel and Word 

Physical Requirements/Work Environment  

• This role is a hybrid position. 
• Employees are regularly required to sit for long periods of time; stand and walk; use hands to finger, handle or feel; reach with hands and arms; talk or hear.   
• This position may be noisy or disruptive at times.   
• The role routinely uses standard office equipment such as computers, phones, photocopiers, and fax machines.  
• This is a full-time position with typical office hours and additional time as needed.  
• Travel by airplanes, trains, and automobiles as needed. May be overnight and extensive at times.  

Disclosures 

This job description is intended as a summary of the primary responsibilities of and qualifications for this position. The job description is not intended as inclusive of all duties an individual in this position might be asked to perform or of all qualifications that may be required either now or in the future. PlanSource reserves the right to revise the duties set forth in this job description at its discretion.