Billing Specialist
$55k - $60kFirst Gen Financial
About this position About First Gen Financial We’re a fast-growing, purpose-driven B2B financial services company built on integrity, accountability, and continuous growth. We have developed our own proprietary insurance product for employers which is scaling rapidly. Our leadership team brings proven expertise from multiple sectors of finance, and every team member plays a direct role in expanding both our clients’ success and our company’s vision. We unlock capital to empower teams! Location: Remote (U.S.) Compensation: $55,000 - $60,000 Base + Performance Bonus Employment Type: Full-time 1099 Contractor with potential conversion The Role We’re looking for a proactive, detail-oriented Billing Specialist who thrives in a fast-paced, compliance-driven environment. You’ll own the full AR/AP billing cycle for a high value transaction portfolio, managing premium collections, carrier remittances, employer invoicing, and reconciliation across our health and life insurance book of business. This is not a back-office clerical role. You’ll serve as part of the financial arm of our client operations, the person who ensures every dollar in and out is tracked, accurate, and resolved with urgency. You’ll work closely with Account Executives, Customer Success, and leadership to keep billing frictionless for clients and compliant for the business. Key Responsibilities Manage the full AR/AP billing cycle for health and life insurance accounts Generate, issue, and track monthly employer invoices for group health and life premiums Process inbound premium payments and apply accurately to client accounts within carrier and compliance deadlines Reconcile carrier remittance reports against employer contributions and employee payroll deductions Investigate and resolve billing discrepancies, short payments, and return items with speed and precision Coordinate with carriers on enrollment changes, retroactive adjustments, and termination billing Monitor aging AR and execute structured follow-up protocols to minimize past-due balances Process AP disbursements to carriers, vendors, and partners on schedule Maintain accurate records in billing systems and CRM; ensure audit-ready documentation at all times Support month-end close with reconciliations, reporting, and variance analysis Collaborate cross-functionally with Customer Success, Account Executives, and Operations on client billing escalations What You’ll Do Day-to-Day Run daily AR aging reports and prioritize outreach on outstanding balances Process and post premium payments from employers via ACH, check, and wire transfer Reconcile carrier bills against internal enrollment data and flag discrepancies for resolution Communicate with clients via phone and email to resolve billing questions and collect past-due amounts professionally Coordinate retroactive adjustments, adds, terms, and COBRA billing with carriers and internal teams Prepare weekly AP disbursement runs and obtain appropriate approvals Maintain organized billing files and support audit requests from carriers, partners, or compliance teams Track KPIs including days sales outstanding (DSO), collection rates, and reconciliation accuracy What Success Looks Like Within 2 Month: Full ownership of the AR/AP billing cycle with minimal supervision All carrier reconciliations completed on time with Aging AR under 30 days for 90%+ of the book Within 3 Months: Documented and optimized billing workflows and escalation procedures DSO at or below industry benchmark for the health insurance space Identified and recovered retroactive billing errors exceeding prior quarter baseline Within 6 Months: Supporting transaction volume growth beyond with no proportional increase in error rate or aging Recognized as the operational anchor for billing integrity across the client portfolio Contributing to system improvements, automation initiatives, or billing policy development Requirements 2+ years of billing, AR/AP, or accounting experience in health insurance, employee benefits, TPA, or related financial services Working knowledge of group health and/or life insurance premium billing structures (fully-insured, level-funded, or MEC preferred) Experience reconciling carrier invoices and processing employer group remittances Proficiency with billing systems, accounting software (QuickBooks, NetSuite, or similar), and Excel/Google Sheets Strong attention to detail with the ability to manage high transaction volumes accurately under deadline pressure Excellent written and verbal communication skills for client-facing billing conversations Self-directed, organized, and comfortable operating in a fast-moving startup environment Bonus: experience with ADP, Viventium, or similar payroll platforms for deduction reconciliation Who You Are You’re precise by nature and relentless by habit. You don’t let a billing discrepancy sit, you chase it down, document it, and fix it. You understand that in the insurance space, accuracy isn’t just good practice; it’s a compliance obligation and a client trust issue. You embody First Gen’s core values: Ironclad Integrity: You do the right thing, even when no one is watching, especially with other people’s money. 24-Carat Accountability: You own your numbers, your errors, and your outcomes without deflection. Catalyst: You look for smarter ways to reconcile, collect, and process, and you bring those ideas to the table. Wholehearted: You treat clients like partners, not account numbers, and your communication reflects that. You’re not just looking for a billing job. You’re looking for a place where your precision and work ethic directly impact business owners, their teams, and the financial stability of the people we serve. #J-18808-Ljbffr First Gen Financial
$25 per hour
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$26 - $28 per hour
...financial processes that ensure patients can begin and continue therapy without unnecessary barriers. We’re looking for an Acute Billing Specialist who wants their work to mean something — someone who brings accuracy, accountability, and purpose to the reimbursement...SuggestedWork at officeRemote workMonday to Friday$21 - $26 per hour
Beacon Solutions Group, a subsidiary of The Bonadio Group, is looking for a Billing Specialist. This person will provide billing services and general revenue cycle services to health care clients including nursing home, professional, hospital, D&TC, OPWDD, OASAS, home...SuggestedHourly paySummer workWork at officeImmediate startMonday to FridayMonday to ThursdayFlexible hoursNight shift$50k - $60k
Legal Billing Specialist $50,000$60,000 Job Description Well-established law firm is seeking a Legal Billing Specialist to join its Accounting Department in Syracuse, Rochester, or Buffalo . This role will manage the full billing process, including preparing and reviewing...Suggested$21 - $26 per hour
Beacon Solutions Group, a subsidiary of The Bonadio Group, is looking for a Billing Specialist. This person will provide billing services and general revenue cycle services to health care clients including nursing home, professional, hospital, D&TC, OPWDD, OASAS, home...Hourly paySummer workWork at officeMonday to ThursdayNight shift$25 per hour
...The ideal billing candidate is highly technology-oriented and comfortable working in a paperless environment. This individual enjoys learning new software, leveraging automation tools, and identifying opportunities to improve billing workflows through technology. Experience...Hourly payFull timeWork at office$50k - $60k
...PLLC, a law firm of 300 attorneys in more than 30 practice and industry groups, is accepting applications for a full-time Legal Billing Specialist to support our Accounting Department in our Syracuse, Rochester, or Buffalo NY office locations. This position is responsible...Full timeWork at officeLocal area- NPAworldwide is seeking a Legal Billing Specialist in Syracuse, Rochester, or Buffalo to join the Accounting Department. The role manages the full billing process, from prebills to invoicing, working with attorneys and clients to resolve discrepancies and ensure timely...
$50k - $65k
A leading law firm is seeking a Legal Billing Specialist to join the team in Syracuse, NY. Who You Are You have 1-2 years of legal billing experience in a law firm or professional services environment Familiarity with Aderant or Elite billing systems is preferred Strong...Local area- We are looking for a Billing Specialist to support a busy accounting and operations team by ensuring billing information is entered, maintained, and processed accurately. This position requires someone who is comfortable working with large volumes of data, has strong QuickBooks...
- ...accounting position you have been searching for Rapid Response Monitoring is looking for an individual to join our billing team As a billing support specialist you will play a critical role in ensuring accurate billing processes and maintaining customer accounts This...Hourly payWork at officeMonday to Friday
$72k - $85k
...Fully Remote Legal E-Billing Specialist | 72k-85k DOE + Bonus! This Jobot Job is hosted by: Howard Santos Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $72,000 - $85,000 per year A bit about us: We are...Work at officeLocal areaRemote workWork from homeFlexible hours$41k - $57k
...Order Management SpecialistAs an Order Management Specialist, you will be part of a dynamic group dedicated to empowering sellers by providing... ...timely activation of client deliverables.• Process manual billing each month and follow up with Sales/Clients for Purchase...Work experience placementWork at officeWorldwide- ...Senior Billing Specialist The Senior Billing Specialist will play a critical role in the Homecare Homebase (HCHB) finance organization by ensuring customer billing is accurate, complete, timely, and properly reflected across Zuora and downstream accounting systems....Full timeContract workPart timeWork experience placementWork at office
$75k - $95k
...Hybrid Insurance Defense Billing + E-Billing Specialist This Jobot Job is hosted by: Haley Lucas Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $75,000 - $95,000 per year A bit about us: We are a respected...Local areaRemote work2 days per week- ...combining industry expertise with technology-driven solutions. Job Summary We are seeking a detail-oriented and motivated Billing Specialist to join our team. This position serves as a key liaison between our Billing Department and clients, ensuring invoices are...Work at officeFlexible hours
- About the Job About the Job: The Salvation Army's Adult Rehabilitation Centers make a difference in people's lives. Through the collection and resale of gently used goods we are able to provide the financial support to assist men and women with a variety of social...Contract workWork experience placementWork at officeImmediate start
- CR Fletcher is seeking an Accounting Administratorfor a client that is a family owned and growing company. This is an important, trusted member of the leadership team. This role is responsible for day to day accounting operations to include: Process invoices, payments...
- ...short pays, disputes, and unapplied cash Issue credit memos as needed Maintain accurate customer account records, including billing information and tax exemption certificates Payroll Administration Process bi-weekly payroll accurately and on time Review...Temporary workWork at office
- UT Southwestern Medical Center in Dallas seeks a Billing Specialist to join the Professional Fee Services team. You will analyze payer underpayments and denials, escalate trends, and file appeals as needed to ensure timely payments. The role requires 5 years of hospital...
- Moroch in Dallas, TX, is seeking a Full Time Clerical role focused on client billing operations, invoicing, and reconciliations. The position emphasizes accuracy, documentation, and adherence to client requirements and schedules. Responsibilities include auditing billings...Full time
- BridgePointe Financial Services in Dallas, TX is seeking a competent Billing Specialist to handle payments processing and related paperwork, ensuring accurate revenue capture. You will perform accounting and customer service tasks, maintain organized financial records,...
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- Dallas Behavioral Healthcare Hospital seeks a Patient Access Representative to generate clean bills for primary, secondary and tertiary payers and maximize upfront collections. You will interview patients to obtain information for admission, verify insurance benefits, and...
$60k - $70k
...ideas, and research to the process. For us all good design is sustainable. Primary Responsibilities: Process high volume of complex bills. Ensure that invoicing is timely and accurate according to the client contract and in compliance with the firm’s policies and...Contract workWork at officeWorldwide- ...and a rewarding career! Job Summary UT Southwestern Medical Center has a new opportunity in the Revenue Cycle Department for a Billing Specialist III. Works under moderate supervision to perform advanced level billing responsibilities. Supports the division of Nephrology...Full timeWork from homeMonday to FridayFlexible hoursShift work
- ...Because here, care goes beyond the job description. JOB OVERVIEW The Billing Specialist reports directly to the Reimbursement Supervisor and is responsible for the proper and complete handling of all aged patient...Work at officeLocal area
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