Billing Specialist

BCS Financial Corporation•Oakbrook Terrace, IL

17d

About The Position

The Billing Specialist owns and oversees billing administration for the Supplemental Health Solutions block of business. The role focuses on accurate invoicing, timely premium collection, discrepancy resolution, and responsive customer support. It serves as a key billing resource for group customers, brokers, Sales/Account Management, Customer Service, Remittance, and other internal partners. The position manages List Bill and Self-billing processes, identifies and resolves premium and remittance discrepancies, supports eligibility updates when needed, and monitors billing activity to reduce errors, prevent escalations, and support a positive customer experience. It also educates customers on billing and remittance processes and provides guidance during implementation, welcome calls, and throughout the customer relationship. Minimal travel is required, with some travel potentially necessary for customer onboarding, training, or team meetings.

Requirements

Associate's degree in Business, Accounting, Finance, or a related field, or an equivalent combination of education and work experience.
2–4 years of experience in billing, premium accounting, invoicing, accounts receivable, or related financial operations within the insurance, health plan, or TPA industry.
Demonstrated experience with group billing processes, including List Bill and/or Self-billing.
Experience resolving billing discrepancies, premium variances, and customer payment issues.
Proficiency with Microsoft Office Suite, especially Excel, including pivot tables, VLOOKUP, and reconciliation.

Nice To Haves

Bachelor's degree in Business Administration, Accounting, Finance, Insurance, or a related field.
LOMA ACS (Associate, Customer Service) or FLMI designation.
AHIP Health Insurance Associate (HIA).
CEBS (Certified Employee Benefit Specialist) designation or progress toward it.
Experience with policy administration and billing systems.
Knowledge of supplemental health products, including accident, critical illness, and hospital indemnity.
Experience working with BCBS Plans, brokers, or group enrollment platforms.
Familiarity with remittance processing, cash allocation, and eligibility administration.
Prior experience supporting customer onboarding or implementation from a billing perspective.

Responsibilities

Conduct proactive outreach to group customers regarding payment discrepancies, misdirected payments, cash received without backup, missing remittances, missing payments, and overpayments; offer situation-specific alternatives and solutions.
Generate and distribute monthly List Bill invoices for assigned group customers.
Manage Self-billing reconciliation when received premiums do not match remittance files or enrollment in VBA.
Review and analyze error reports daily; manage suspense items, billing-versus-remittance discrepancies, billing master schedule updates, final bill holds and releases, eligibility updates, and identification and resolution of D&U.
Monitor billing transmission and payment processes for the Supplemental Health Solutions block to prevent issues and avoid escalations.
Complete group-level reconciliations and payment history reviews.
Determine appropriate cash allocation and direct the Remittance Department on proper premium application.
Make decisions regarding refunds, write-offs, and reinstatements.
Build and maintain relationships with group customers and internal partners, and work with internal and external contacts to resolve issues.
Respond directly to group customers regarding billing inquiries and issues.
Participate in escalation calls as the billing expert with customers, brokers, Sales/Account Management, and Customer Service as warranted.
Educate customers on billing and remittance processes and provide ongoing support during implementation, welcome calls, and the customer relationship.