Medical Billing Specialist II

POSITION SUMMARY

The Billing Specialist II processes and audits client invoicing, client setups/changes and rate sheet reviews to ensure timely invoice generation and adherence to key performance standards and policies. This role involves managing electronic billing data, verifying client and vendor financial information, communicating with internal stakeholders, and potentially providing mentorship to junior staff.


ESSENTIAL FUNCTIONS

• Accurately process monthly invoices for large volume of assigned groups
• Review monthly billing eligibility adjustments and ensure accurate processing of member terms and enrollments
• Configure and audit new accounts for our ASO book of business
• Renewal rate sheet review with audit of annual fees and rates for existing book of business
• Create/Maintain Excel spreadsheets to track services/activity for assigned groups
• Assist in New Hire and Group Training
• Maintain Access Database table data to track services/activity for several clients
• Address and resolve complex billing discrepancies and customer inquiries
• Serve as a resource and mentor for junior billing staff
• Ensure all billing activities comply with corporate policies and procedures
• Other duties as assigned

EDUCATION

• High School Degree or equivalent required.
• College degree preferred.

EXPERIENCE AND SKILLS

• Minimum 3 years of Billing Administration within a fast paced environment required.
• Must possess a strong grasp of billing procedures and coding standards.
• Must be extremely detailed oriented and possess superior analytical skills of success.
• Experience in accounting, billing, accounts receivable, and understanding financial reporting is strongly preferred.
• Strong ability to research and resolve complex billing issues.
• Third Party Billing Administration preferred.
• Intermediate to Advanced experience with Word, Excel, Outlook, and Access preferred

• Ability to scrutinize large data sets to ensure accuracy and identify trends.
• Expertise in using billing and financial software.
• Strong interpersonal and communication skills to effectively work with clients and internal teams.
• Familiarity with Microsoft Excel, databases, and potential SQL for data analysis and reporting.

POSITION COMPETENCIES

• Accountability
• Communication
• Customer Service Orientation
• Functional/Technical Skills
• Quality Focus
• Time and Task Management

PHYSICAL DEMANDS

• This is a standard desk role requiring extended sitting and computer work.

WORK ENVIRONMENT

• Remote

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.