Billing Specialist (HV1)

Billing Specialist

Acme Health Group | Enrollment & Billing Operations

Caring. Connecting. Delivering better health outcomes, together.

Location: US, Remote — Onsite Job Type: Full-time (40 hrs/week), Monday–Friday

About the Role

At Acme Health Group, we're simplifying the health care experience and removing barriers to quality, affordable care for the members and plan sponsors we serve. As a Billing Specialist, you'll play a key role in that mission — administering billing and enrollment processes for employer- and union-sponsored health plans, verifying eligibility, resolving payment discrepancies, and making sure every member and employer account is accurate and up to date.

This role is ideal for someone who thrives in a fast-paced, high-volume environment, enjoys problem-solving, and takes pride in getting the details right the first time.

Primary Responsibilities

• Administer billing for employer- and union-sponsored health and welfare plans, including premium and contribution processing
• Verify participant and dependent eligibility, and process enrollment additions, changes, and terminations
• Respond to inbound member and employer inquiries via phone and email regarding billing statements, coverage, and account status
• Prepare and issue member/employer correspondence, including billing notices and eligibility confirmations
• Reconcile monthly billing reports and payment data to identify and resolve discrepancies
• Process contribution collections, adjustments, refunds, and write-offs according to established guidelines
• Monitor accounts receivable aging and follow up on outstanding balances
• Collaborate with Enrollment, Customer Service, Collections, and Finance teams to resolve escalated billing issues
• Maintain accurate, well-documented account notes and correspondence within billing systems
• Support month-end close activities, including reconciliations and standard reporting
• Identify recurring billing errors or process gaps and recommend improvements to increase accuracy and efficiency
• Stay current on applicable billing regulations, payer requirements, and compliance standards

What You'll Bring

Required:

• High school diploma or GED, or equivalent work experience
• Must be 18 years of age or older
• 1+ years of experience in billing reconciliation, accounts receivable, or deposit posting
• 1+ years in an office setting resolving customer or member inquiries by phone and computer
• Intermediate proficiency in Microsoft Excel, including sorting/filtering, basic formulas, VLOOKUP, and pivot tables
• Comfortable learning new and complex computer/billing system applications
• Strong attention to detail and accuracy in high-volume data environments
• Excellent written and verbal communication skills with a customer-service orientation
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment

Preferred:

• Associate's or Bachelor's degree in Accounting, Finance, Business, or a related field
• Experience with billing/ERP systems (e.g., SAP, Oracle, Epic, or similar)
• Experience with union or Taft-Hartley benefit administration
• Experience reconciling bank accounts or transactional data
• Familiarity with healthcare insurance enrollment/eligibility processes
• Understanding of billing compliance standards (HIPAA, insurance claim requirements)

What We Offer

• Competitive base pay plus performance incentives
• Comprehensive medical, dental, and vision coverage, including HSA/FSA options
• 401(k) Savings Plan with company match, plus Employee Stock Purchase Plan
• Paid Time Off, accrued from your first pay period, plus paid company holidays
• Short- and long-term disability, life, and AD&D insurance
• Education reimbursement and employee assistance program
• Voluntary benefits (pet insurance, legal insurance, and more)
• Opportunities for career growth within a large, established organization