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 and Experience

• High School Degree or equivalent required. College degree preferred.
• 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 detail-oriented and possess superior analytical skills.
• 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.
• Strong 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.

Physical Demands

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

Work Environment

Remote

Position Competencies

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

Benefits

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.