Billing Coordinator

POSITION SUMMARY 

The Billing Coordinator is responsible for executing and supporting the end-to-end group medical premium billing cycle for assigned clients. This includes maintaining account setup and rate accuracy, cross referencing member eligibility, processing monthly billing files, generating invoices, and validating billing outputs within QicLink and other supporting technical systems to ensure completeness and accuracy prior to release. 

This role works closely with the internal Billing, Eligibility, AP, AR, and Client Services teams to resolve premium billing discrepancies, implement account changes, and ensure billing aligns with quoted rates and system configurations. The Billing Coordinator is also responsible for identifying issues impacting billing accuracy and escalating or resolving them to prevent recurrence. 

ESSENTIAL FUNCTIONS 

• Execute monthly premium billing processes in QicLink system, including importing and validating billing files across multiple clients and lines of business with differing invoicing rules 

• Generate and distribute invoices based on generated billing results, client requirements, and service activity  

• Identify, research, and resolve billing discrepancies, including missing charges, incorrect amounts, or system processing issues  

• Create and manage self-bill processes for applicable clients and services  

• Review billing outputs for accuracy and completeness, including validation of rates, eligibility, and service configurations  

• Set up new accounts and implement changes to existing accounts, ensuring alignment with client contracts and operational requirements  

• Audit account setups and changes to confirm proper configuration and prevent downstream billing errors  

• Partner with AR, AP, Eligibility, and Client Services teams to resolve billing-related questions, exceptions, and client inquiries  

• Maintain tracking tools and reporting (Excel, Access, or system-based) to monitor billing activity, issues, and completion status  

• Support state reporting and other client-specific reporting requirements tied to billing outputs  

• Identify and analyze recurring issues, perform root cause analysis, and recommend corrective actions and process improvements 

• Ensure adherence to internal controls, audit requirements, and established billing procedures  

• Other duties as assigned 

EDUCATION 

• High School diploma or equivalent required  

• Associate or Bachelor's coursework in Business, Accounting, or Finance preferred 

EXPERIENCE AND SKILLS  

• Minimum 1–2 years of experience in group medical premium billing 

• Working knowledge of group premium rates and member eligibility 

• Ability to produce accurate group premium invoices in a high-volume, deadline-driven environment 

• Experience supporting billing processes, invoicing, or data validation 

• Strong attention to detail with a focus on accuracy in billing and data processing 

• Ability to identify discrepancies, perform root cause analysis, and recommend corrective actions 

• Strong organizational and time management skills with the ability to manage multiple priorities and deadlines  

• Ability to work independently in a structured, process-driven environment  

• Effective communication skills using Microsoft Outlook and Teams to coordinate across internal teams and resolve issues  

• Strong Microsoft Excel skills, including data validation, reconciliation, and basic analysis, with experience using tools such as Power Query preferred 

• Experience working with financial systems, billing platforms, or database tools preferred  

• Ability to quickly learn and navigate internal systems, including QicLink and Power BI reporting tools 

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.