Execute monthly premium billing processes in QicLink system, including importing and validating billing files across multiple clients and lines of business with differing invoicing rules
Generate and distribute invoices based on generated billing results, client requirements, and service activity
Identify, research, and resolve billing discrepancies, including missing charges, incorrect amounts, or system processing issues
Create and manage self-bill processes for applicable clients and services
Review billing outputs for accuracy and completeness, including validation of rates, eligibility, and service configurations
Set up new accounts and implement changes to existing accounts, ensuring alignment with client contracts and operational requirements
Audit account setups and changes to confirm proper configuration and prevent downstream billing errors
Partner with AR, AP, Eligibility, and Client Services teams to resolve billing-related questions, exceptions, and client inquiries
Maintain tracking tools and reporting (Excel, Access, or system-based) to monitor billing activity, issues, and completion status
Support state reporting and other client-specific reporting requirements tied to billing outputs
Identify and analyze recurring issues, perform root cause analysis, and recommend corrective actions and process improvements
Ensure adherence to internal controls, audit requirements, and established billing procedures
Other duties as assigned
Requirements
High School diploma or equivalent required
Associate or Bachelor's coursework in Business, Accounting, or Finance preferred
Minimum 1–2 years of experience in group medical premium billing
Working knowledge of group premium rates and member eligibility
Ability to produce accurate group premium invoices in a high-volume, deadline-driven environment
Experience supporting billing processes, invoicing, or data validation
Strong attention to detail with a focus on accuracy in billing and data processing
Ability to identify discrepancies, perform root cause analysis, and recommend corrective actions
Strong organizational and time management skills with the ability to manage multiple priorities and deadlines
Ability to work independently in a structured, process-driven environment
Effective communication skills using Microsoft Outlook and Teams to coordinate across internal teams and resolve issues
Strong Microsoft Excel skills, including data validation, reconciliation, and basic analysis, with experience using tools such as Power Query preferred
Experience working with financial systems, billing platforms, or database tools preferred
Ability to quickly learn and navigate internal systems, including QicLink and Power BI reporting tools.