Benefits Billing & Reconciliation Specialist

FirstDay Foundation•San Antonio, TX

13d

About The Position

Under the direction of the VP, Benefits and Wellness, the Benefits Billing & Reconciliation Specialist maintains and reconciles employee premium and member accounts to reflect payments received for the agency’s insurance and benefits programs. The role reviews, analyzes, records, and reconciles accounts receivable transactions; posts payments received from employees and benefit vendors; responds to inquiries about benefit policies and procedures; and addresses discrepancies, changes, and other transactions. The specialist handles billing and eligibility records for programs including medical, retirement, life, vision, dental, legal, and FSA benefits. The role also supports benefit expense accounting, invoice review, enrollment processing, payroll-related benefit procedures, self-billing for voluntary benefits, and training for insurance and benefit coordinators. It prepares and maintains accurate records, reports, correspondence, procedures, and other written materials related to billing and reconciliation.

Requirements

Bachelor’s degree in Accounting or Finance preferred; a minimum of seven years of equivalent relevant experience may substitute for the degree.
At least two years of experience reconciling data and payment variances.
Technical experience administering employee benefits programs, with an emphasis on medical and retirement plans.
Critical-thinking skills to diagnose problems, identify solutions, and drive appropriate action.
Leadership skills to coordinate with benefit administrators, agency staff, and vendors.
Excellent conflict-management and consulting skills.
Strong communication abilities to build effective working relationships and convey benefits information to employees.
Sound judgment and decision-making that balance tradeoffs and the needs of employees and the company.
Ability to understand complex and changing insurance regulations, coverage terms, and health care law.
Ability to work in a fast-paced and innovative environment.
Strong analytical skills and business acumen to translate business-unit plans and goals into human resource capabilities.
Excellent client-management and business-literacy skills.
Ability to manage multiple conflicting priorities.
Flexible, self-directed, and motivated approach to work.
High level of computer software skills, including HRIS, Microsoft Office, and database management.
Excellent organizational skills.
Applicants must be authorized to work for any employer in the United States; visa sponsorship is not available.

Nice To Haves

At least three years of payroll experience.

Responsibilities

Record accounts receivable transactions and benefit eligibility, and create billing records.
Review and analyze discrepancy reports and information concerning payments for insurance and benefit programs, including life, health, vision, dental, medical, retirement, and FSA accounts.
Allocate benefit expenses to the correct project codes.
Prepare journal entries for benefit expenses.
Review and audit monthly invoices.
Investigate payment discrepancies, research records and documents to verify amounts due, and identify enrollment or status changes.
Notify coordinators, policyholders, members, and others about actions needed to correct discrepancies or adjust accounts; interpret relevant laws, rules, and policies concerning enrollments, benefits, policy renewals, status changes, and entitlements.
Explain pre-tax and post-tax treatment of employee benefits and advise payroll or benefit coordinators about requirements for implementing and maintaining Internal Revenue Code Section 125 entitlements.
Post payroll reports, member accounts, and other records to reflect payments received from individual policyholders, members, or agencies.
Prepare reports, worksheets, statements, and other documents; initiate refunds for canceled or non-renewable policies; and review and process reimbursement claims for insurance and benefits.
Review and process enrollment, status, and other changes; train coordinators and others on enrollment and change forms, procedures, and insurance-related payroll procedures.
Create requisitions for insurance and benefits programs, including life, vision, dental, medical, retirement, legal, and FSA accounts.
Generate self-billing for voluntary benefits.
Analyze and reconcile accounts and benefit records, and review and process enrollments or changes in insurance and benefit programs.
Prepare clear and concise reports, correspondence, procedures, and other written materials.
Compile, summarize, and maintain accurate records and files.
Research, compile, and summarize information for periodic and special billing and reconciliation reports.