Benefits Billing & Reconciliation Specialist

FirstDay Foundation; San Antonio (TX); On-site; USD 65,000 - 95,000; Full time

Job summary

FirstDay Foundation is seeking a Benefits Billing & Reconciliation Specialist to manage the maintenance and reconciliation of employee premium accounts and member accounts, reflecting payments for diverse insurance and benefits programs.

You will review, analyze, and post payments from employees and vendors, respond to inquiries, and handle discrepancies, changes, and transactions to ensure accurate accounting and compliance with benefit policies.

Qualifications

• Critical thinking to diagnose problems and drive solutions.
• Strong leadership to coordinate with Benefit Administrators and vendors.
• Excellent conflict management and consulting skills.
• Outstanding communication abilities with employees and vendors.
• Good judgment balancing tradeoffs and company needs.
• Aptitude for complex and changing insurance regulations.
• Ability to thrive in a fast-paced, innovative environment.
• Strong analytic and business literacy skills for HR needs.

Responsibilities

• Record accounts receivable transactions and create billing records.
• Review discrepancy reports and payments for various benefits programs.
• Allocate benefit expenses to correct project codes and prepare journal entries.
• Review monthly invoices and reconcile benefit accounts.
• Investigate discrepancies; communicate actions required to correct enrollments or statuses.
• Provide information on pre-tax and post-tax treatment of benefits to stakeholders.
• Post payroll reports and ensure accurate reflection of payments.
• Generate and maintain periodic reports related to billing and reconciliation.

Skills

Critical thinking

Leadership

Conflict management

Communication

Decision making

Insurance regulations

Analytical skills

Client management

Prioritization

Organizational skills

Self-directed

Motivated

Education

Bachelor degree in Accounting or Finance

7+ years experience substitute for degree

Tools

HRIS

Microsoft Office

Database management

Job description

It's a great feeling to work for a company that does so much good for others around the world!

Academic Req:

Bachelor Degree in Accounting or Finance preferred. Minimum 7 years equivalent relevant experience may substitute for dregree.

Work experience:

Minimum Two years of experience reconciling data and payment variances. Technical experience in the administration of employee benefits programs with an emphasis on medical and retirement plans required. Minimum Three years payroll experience a plus.

Summary:

Under the direction of the VP, Benefits and Wellness, the Benefits Billing & Reconciliation Specialist is responsible for the maintenance and reconciliation of employee premium accounts and member accounts to reflect payments received for various types of insurance and benefits programs offered by the agency. Responsibilities includes reviewing, analyzing, recording and reconciling accounts receivable transactions, posting payments received directly from employees and various benefit vendors, responding to inquiries concerning benefit policies and procedures, and tasks concerning actions required on various discrepancies, changes or other transactions.

Critical Action Items & Measurable Deliverables:

Critical Action Items:

• Records accounts receivable transactions and benefit eligibility and creates billing records.
• Reviews and analyzes discrepancy reports and other information concerning payments received for various types of insurance or benefits, such as life, health, vision and dental, medical, retirement and FSA spending accounts and other insurance or benefits programs.
• Allocates benefit expenses to correct project codes.
• Prepares journal entries for accounting benefit expenses.
• Review and audits monthly invoices.
• Determines cause of discrepancies resulting from payments made through electronic transfers or other methods; research appropriate records and/or documents needed to verify payments due and identify any changes in enrollment or status.
• Notifies insurance/benefit coordinators, policy holders, members or others, as needed, concerning actions required to correct discrepancies, adjust accounts or other requirements; provides interpretation of various laws, rules or policies concerning insurance enrollments, benefits allowances, renewal of policies, changes in status and other transactions or entitlements.
• Provides information to employers, employees and others concerning pre-tax and post-tax treatment of employees benefits; advises payroll or insurance/benefit coordinators concerning requirements to implement and maintain Internal Revenue Code Section 125 entitlements.
• Posts payroll reports, member accounts and other records to reflect payments received directly from individual policy holders, members, or agencies, as necessary.
• Prepares various reports, worksheets, statements and other documents; initiates action for payment of refunds on canceled or non-renewable policies; reviews and processes claims for reimbursement for various types of insurance or benefits, such as life, vision, dental and medical
• Reviews and processes changes in enrollment, status and other actions; trains insurance/benefit coordinators and/or others on the proper use of forms and procedures for enrollments and changes and payroll procedures for insurance purposes.
• Creates requisitions for insurance such as life, vision, dental, medical, retirement, legal, and FSA spending accounts and other benefits programs.
• Generates self-billing for voluntary benefits.

Measurable Deliverables

• Analysis and reconciliation of various accounts or other benefit records; or in review and processing various actions involving enrollments or changes in insurance or benefit programs.
• Prepare clear and concise reports, correspondence, procedures and other written materials.
• Compile, summarize and maintain accurate records and files.
• Researches, compiles and summarizes a variety of information to prepare periodic and special reports related to the billing and reconciliation function; prepares correspondence and a variety of reports and written materials; maintain accurate records and files.

Requirements:

• Critical thinking skills to diagnose problems, identify and drive appropriate solutions.
• Must possess strong leadership skills to coordinate with other Benefit Administrators, agency staff and vendors.
• Excellent conflict management and consulting skills.
• Must possess outstanding communication abilities to develop great working relationships with employees and vendors, as well as to convey important benefits information to employees.
• Ability to exercise excellent judgment that balances tradeoff decisions and the needs of employees, as well as the company. Strong decision-making skills and judgement.
• Have an aptitude for understanding the complex and constantly changing insurance regulations and coverage terms, as well as changes in health care law.
• Ability to function in a fast paced and innovative environment.
• Strong analytic skills and business acumen to translate business unit plans and goals into human resource capabilities needed to achieve results.
• Excellent client management and business literacy skills.
• Ability to manage multiple conflicting priorities.
• Must be flexible, self-directed and motivated.
• High level of computer software skills to include HRIS, Microsoft Office, and database management.
• Excellent organizational skills.

English (United States)

If you like to work with people that believe they can make a difference in the world, this is the company for you!

EEO Statement

In accordance with Title VII of the Civil Rights Act of 1964 and other applicable federal and state laws (e.g., the Age Discrimination in Employment Act (ADEA), and the Americans with Disabilities Act (ADA), it is our policy to provide equal employment opportunity and treat all employees equally regardless of race, religion, national origin, color, sex, or any other classification made unlawful or prohibited by federal, state and/or local laws, such as age, citizenship status, veteran or military status, or disability. This policy applies to all terms and conditions of employment, including hiring, promotion, demotion, compensation, training, working conditions, transfer, job assignments, benefits, layoff, and termination.

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

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