Enrollment/Billing Lead Representative

Private Advertiser; Quezon City; On-site; PHP 600,000 - 900,000; Full time

Job summary

Private Advertiser in the Philippines seeks a Revenue Account Specialist to manage end-to-end billing for healthcare invoices and identify process improvements that boost client satisfaction while reducing financial risk. You will liaise with internal teams to ensure accurate, timely billing and robust reconciliation, with a focus on maintaining strong client relationships.

The role requires advanced Excel skills, analytical thinking, and the ability to challenge non-standard requests that may

Qualifications

• Healthcare billing, insurance operations, premium management, or related experience preferred.
• Experience with financial reconciliation and analysis.
• Strong ability to analyze complex financial and operational data.
• Excellent English communication and client-facing skills.

Responsibilities

• Manage billing relationships for medical, dental, vision, and related invoices.
• Support premium billing, payment reconciliation, allocation, and collection.
• Research discrepancies involving payments, rates, eligibility, and commissions.
• Lead calls with clients, brokers, and third-party administrators to explain processes.
• Analyze data to identify trends, risks, and operational improvements.
• Document workflows, maintain client instructions, and track issues.
• Escalate and resolve sensitive client situations with urgency and professionalism.

Skills

Analytical thinking

Financial reconciliation

Client management

Process documentation

Problem-solving

Negotiation

Education

Bachelor's degree in Finance or Accounting

Tools

Microsoft Excel

Job description

The Revenue Account Specialist manages the end-to-end billing relationship. Identify opportunities for process improvements to enhance client satisfaction, the Global Service Partner Relationship, and reduce financial risk and successful implementation of new and renewing clients.

This role is responsible for premium billing and collection, financial reconciliation, issue resolution, risk identification, and client support. The specialist partners with clients and internal teams to deliver a positive experience while protecting the organization’s financial and operational interests.

Success requires strong analytical skills, independent judgment, ownership, and the confidence to professionally challenge requests that fall outside standard processes or create financial, compliance, or operational risk.

Key Responsibilities

• Manage billing relationships for medical, dental, vision, and other applicable invoices.
• Support premium billing, payment reconciliation, allocation, collection, and issue resolution.
• Research discrepancies involving payments, rates, eligibility, commissions, and other billing concerns.
• Communicate with delinquent clients according to established collection processes.
• Analyze financial and operational data to identify trends, root causes, financial exposure, and operational risks.
• Evaluate non-standard requests and identify potential downstream impacts before decisions are finalized.
• Recommend sustainable alternatives when requests cannot be supported through standard procedures.
• Lead client, broker, and Third-Party Administrator calls (video) to explain billing processes and resolve concerns.
• Manage escalations and sensitive client situations with professionalism and urgency.
• Partner with Sales, Implementation, Underwriting, Finance, Operations, Client Management, Commissions, and other teams.
• Support new and renewing client implementations by reviewing billing requirements and identifying risks.
• Identify process gaps and recommend workflow improvements that increase accuracy, reduce manual work, and improve the client experience.
• Maintain accurate process documentation, client instructions, reporting, and issue tracking.
• Take ownership of problems through resolution and follow up on outstanding actions.
• Recommend monthly reserves or accruals to Finance when financial exposure is identified.

Requirements

Technical and Professional Requirements

• Healthcare billing, insurance operations, premium management, finance, accounting, or related experience preferred.
• Experience with financial reconciliation and analysis.
• Advanced Microsoft Office skills, particularly Excel.
• Ability to analyze complex financial and operational data.
• Strong root cause analysis and problem-solving skills.
• Client management or client service experience.
• Process documentation and workflow improvement experience.
• Experience supporting non-standard billing arrangements, Self-Billed accounts, Third-Party Administrators, brokers, or complex client structures preferred.
• Bachelor’s degree in Finance, Accounting, Business Administration, Economics, or a related field preferred.

Communication and Business Acumen

• Exceptional verbal and written English communication skills.
• Ability to lead client and internal partner meetings on video.
• Ability to explain complex billing and financial concepts to non-technical audiences.
• Strong negotiation, influence, and conflict-resolution skills.
• Ability to professionally challenge assumptions and defend recommendations.
• Strong critical thinking and independent decision-making skills.
• Ability to balance customer experience, operational efficiency, and financial risk.
• Sound judgment when evaluating exceptions to standard processes.
• Strong ownership, accountability, and follow-through.
• Ability to influence stakeholders without direct authority and resolve competing priorities.