Billing Specialist

Imagine360 • ,

24d • $25 - $26 • Remote

About The Position

Imagine360 is seeking a Billing Specialist to join the team! The Billing Specialist is responsible for the accurate, timely, and compliant generation of client premium billing. This role serves as a critical link between operational teams and clients, ensuring that all billing activity reflects current eligibility, plan configurations, rates, and client expectations. The Billing Specialist manages an assigned portfolio of client groups, performs detailed billing audits, resolves discrepancies, responds to billing inquiries, and collaborates with internal departments to ensure invoices are delivered accurately and on schedule.

Requirements

• High School Diploma or GED
• Experience interpreting large data sets and identifying discrepancies.
• Strong mathematical and reconciliation skills.
• Advanced Microsoft Excel skills, including data manipulation, validation, and reporting.
• Proficiency with Microsoft Lists. Excel and related Microsoft Office applications.
• Working knowledge of Word, PowerPoint, Visio, and Copilot.
• Ability to navigate billing and operational systems efficiently.
• Strong verbal and written communication skills.
• Ability to explain complex billing concepts to clients and internal teams.
• Professional customer service approach when handling escalated billing concerns.
• Comfortable interacting with clients, brokers, and operational departments.
• Effective time-management and prioritization skills.
• High level of accuracy and attention to detail.
• Strong organizational and documentation skills.
• Follow HIPAA guidelines and protect confidential member information.
• Adhere to established billing processes and operational procedures.
• Maintain compliance with company standards for quality, documentation, and client service.
• Participate in team meetings, training sessions, quality reviews, and continuous improvement initiatives.

Responsibilities

• Owns the monthly premium billing for assigned client groups and is accountable for producing accurate invoices that meet established deadlines and client expectations.
• Creates, reviews, and releases monthly premium bills.
• Manages a portfolio of assigned groups and ensures all required billing activity is completed on schedule.
• Applies established billing methodologies, fee structures, and client-specific requirements.
• Reviews billing details for inconsistencies, discrepancies, or missing information.
• Investigates billing errors and performs required corrections prior to invoice distribution.
• Verifies fees, rates, and administrative charges against approved documentation and contractual requirements.
• Ensures annual renewals, mid-year rate changes, and new group implementations are accurately reflected on invoices.
• Reviews and validates group rates through established billing processes.
• Updates billing calculations for rate changes, renewals, and client modifications.
• Coordinates with Configuration, Eligibility, Finance, and Client Banking teams when rate discrepancies are identified.
• Confirms that billing data aligns with approved client setups and system configurations.
• Follows company naming conventions and documentation standards.
• Organizes and stores billing files and supporting documentation within approved company systems.
• Maintains audit-ready records for billing transactions, rate changes, and client communications.
• Ensures billing documentation can be easily retrieved for future reference or audit purposes.
• Responds to client billing inquiries in a professional and timely manner.
• Partners with Client Experience, Member Experience, Eligibility, Finance, Configuration, and Banking teams to resolve billing issues.
• Researches invoicing concerns and provides clear explanations regarding charges, adjustments, and billing calculations.
• Communicates effectively with clients, brokers, and internal stakeholders at various organizational levels.
• Reviews production reports and performance metrics throughout the month.
• Meets assigned billing volume and turnaround expectations.
• Maintains established quality audit scores.
• Reviews and responds to quality audit findings within required timeframes.
• Implements corrective actions when opportunities for improvement are identified.

Benefits

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start
• 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED