Benefits Billing & Reconciliation Specialist

FirstDay Foundation•San Antonio, TX

15d

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 from employees and benefit vendors; responds to inquiries about benefit policies and procedures; and takes action to address discrepancies, changes, and other transactions. The position supports billing and reconciliation for programs including medical, retirement, life, vision, dental, and flexible spending accounts. It also prepares accounting entries and reports, processes enrollment and status changes, and provides guidance to employees, employers, benefit coordinators, and payroll staff on benefit procedures and related requirements.

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, particularly 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.
Strong conflict-management and consulting skills.
Excellent communication skills for building working relationships and conveying benefits information.
Sound judgment and decision-making skills to balance tradeoffs and the needs of employees and the company.
Ability to understand complex and changing insurance regulations, coverage terms, and health care laws.
Ability to work in a fast-paced and innovative environment.
Strong analytical skills and business acumen.
Excellent client-management and business-literacy skills.
Ability to manage multiple conflicting priorities.
Flexible, self-directed, and motivated approach to work.
Strong 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 payment information for insurance and benefit programs.
Allocate benefit expenses to the correct project codes.
Prepare journal entries for accounting benefit expenses.
Review and audit monthly invoices.
Investigate payment discrepancies by researching records and documents, verifying amounts due, and identifying enrollment or status changes.
Notify coordinators, policyholders, members, and others about actions needed to correct discrepancies, adjust accounts, or meet other requirements.
Interpret laws, rules, and policies concerning insurance enrollment, benefit allowances, policy renewals, status changes, and entitlements.
Explain pre-tax and post-tax treatment of employee benefits and advise payroll or benefit coordinators on requirements for implementing and maintaining Internal Revenue Code Section 125 entitlements.
Post payroll reports, member accounts, and other records to reflect payments received from policyholders, members, or agencies.
Prepare reports, worksheets, statements, correspondence, and other documents.
Initiate refunds for canceled or non-renewable policies and review and process claims for reimbursement involving insurance or benefit programs.
Review and process enrollment, status, and other changes.
Train benefit coordinators and others on forms, enrollment and change procedures, and payroll procedures for insurance purposes.
Create requisitions for insurance and benefit programs, including life, vision, dental, medical, retirement, legal, and FSA spending accounts.
Generate self-billing for voluntary benefits.
Research, compile, summarize, and maintain accurate records and files, and prepare periodic and special reports related to billing and reconciliation.