Note: The job is a remote job and is open to candidates in USA. NCD is a top-tier insurance provider seeking a Billing Operations Specialist to join their Operations team. This role is responsible for managing the full lifecycle of billing accuracy, payment file processing, and exception resolution, while also analyzing billing data trends.
Responsibilities
- Own billing exception identification, triage, and resolution end to end. Manage billing holds escalation and see issues through to resolution. Serve as the first line of response for billing-related tickets, managing the Front billing queue with accuracy and timeliness. Current ticket volume runs approximately 10-15 tickets per week with a 2-business-day turnaround expectation
- Run daily declines monitoring and produce weekly decline trend reporting by agency, product, and carrier. Surface patterns early and flag proactively before they become member or agency impacts
- Process monthly payment files for all carriers. Own carrier payment file implementation for new and existing carriers. Serve as the primary connection point between NMI and E123, ensuring accuracy and continuity across both systems
- Work closely with Member Care, Operations, and carrier partners to communicate billing status, escalate unresolved issues, and keep the right people informed. Serve as a reliable, responsive partner across teams
- Other duties as assigned
Skills
- 1 or more years of experience in billing operations, payment processing, insurance administration, or a related operational field; equivalent demonstrated capability will also be considered
- Strong attention to detail with a track record of owning recurring processes accurately and independently
- Comfort working in enrollment and billing platforms, with the ability to learn proprietary systems quickly
- Clear written communication for ticket management, escalation notes, and cross-functional updates
- Ability to manage multiple daily and weekly workstreams simultaneously without things falling through the cracks
- Proactive and solution-driven: you flag issues before they become problems and bring a path forward when you escalate
- Experience with E123, NMI, or similar enrollment and payment gateway platforms
- Familiarity with ACH processing, payment file formats, or carrier billing workflows
- Experience in supplemental health, dental, vision, or insurance administration
- Experience using Claude, ChatGPT, or other AI tools to support operational workflows, documentation, or exception management
Benefits
- Company-paid health, dental, life, and disability insurance
- 401(k) with employer match
- Opportunity for professional development
- Work from home allowance and support
- Positive work environment
- Remote, office-based flexibility within the United States of America
Company Overview