Billing Specialist

• Own the product strategy, roadmap, and delivery outcomes for the Core Billing, Invoicing, and Statements Platform, including core billing engines, dynamic document rendering, statement distribution APIs, and preference management tools.
• Define and maintain the billing and statements roadmap across Ford Credit initiatives, Ford Pro, the Ford Credit digital teams, Agent Servicing, downstream financial accounting systems, and external print vendors.
• Translate complex business rules, modern lending platform capabilities, legacy system migrations, and technical requirements into clear product backlogs, MVP definitions, and execution plans.
• Partner with peer teams to define invoicing MVP boundaries, supporting complex commercial fleet consolidated billing, account hierarchies and grouping structures, and custom billing templates.
• Lead product definition for complex billing scenarios, including statement cycle logic, grace period calculations, dynamic fee and amortization displays, interest accrual presentation, late fee application rules, and billing correction/reversal flows.
• Lead requirements for state-of-the-art document composition technologies, focusing on dynamic localized translations, ADA accessibility compliance (Web Content Accessibility Guidelines), and print/digital layout consistency.
• Define and prioritize billing control requirements, such as invoice validation runs, statement generation reconciliation, duplicate billing checks, out-of-balance processing holds, and secure audit logging for compliance.
• Represent Billing and Statements in PI planning, QBRs, executive readouts, architecture reviews, and risk/compliance escalation discussions.
• Partner with engineering leadership to ensure system designs are scalable, resilient, appropriately sequenced, and aligned to team capacity.
• Identify and escalate risks related to billing accuracy, regulatory disclosure errors (e.g., Truth in Lending Act, Regulation Z, Regulation E), print vendor processing delays, and production readiness.
• Define product success metrics and operational health indicators, including statement generation SLA adherence, paperless adoption rate, delivery failure rates, system latency for real-time document retrieval, and billing dispute trends.

Group Product Manager – Billing Modernization

• Coordinates and facilitates patient billing and collection activities
• Processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications
• Researches payments, denials, and accounts
• Builds strong working relationships with assigned business units

PFS Representative, CBO Billing, Follow-up, Denials Management

• Perform day-to-day billing and follow-up activities within revenue operations
• Document claims billed, paid, settled, and follow-up in appropriate systems
• Identify and escalate issues affecting accurate billing and follow-up activities
• Contact payers directly for payment due and review correspondence
• Communicate with hospital departments to clarify billing discrepancies
• Perform routine follow-up functions including investigating overpayments and payment delays
• Research claim rejections and take corrective actions
• Prepare special reports as directed by Supervisor Billing and Follow-Up

Billing and Follow-Up Representative – BC/BS Payer

• Provide exemplary customer service.
• Work daily electronic billing system (Cerner & nThrive) and submits insurance claims to third-party payers.
• Review daily claim edits from the hospital billing system and makes necessary corrections.
• Assess claim edits daily leading to resolution within 24-48 hours.
• Maintain a thorough understanding of federal and state regulations as well as requirements specific to Medicare, Medicaid, and fiscal intermediaries.
• Communicate edits that may need joint resolution with external departments.
• Prepare and submit manual insurance claims to third-party payers who do not accept electronic claims or who require special handling.
• Resubmit claims that may need corrections.
• Verify claims have been received by appropriate payer.
• Investigate and resolve issues in regards to claim transmission.
• Mail/Fax/Email paper claims to the appropriate payer the day they are generated.
• Perform effective follow-up on all outstanding debit and credit balances within the expected time period.
• Review and analyze outstanding debit and credit balances to determine appropriate follow-up.
• Contribute innovatively to the success of the department and ensure compliance in patient and billing aspects.
• Maintain a base-line understanding of federal and state regulations, as well as specific payer requirements.
• Effectively handle communications from payers and departments within and outside of the department.
• Understand and maintain compliance with HIPAA guidelines when handling patient information.
• Document all activity taken within an encounter in the billing system.
• Clear and concise messaging.
• Responsible for making and documenting timely phone calls to insurance regarding billing matters.
• Provide updates to existing policies and procedures as needed and propose new.
• Communicate with staff routinely and effectively using all forms of communication.

Insurance Billing Specialist, Full Time, Days

• Perform billing and accounts receivable functions by working collaboratively with Support Specialists, consulting staff, and other associates to support the enterprise’s initiatives.
• Assist with project management and train other associates.
• The Billing Operations Specialist is responsible for delivering timely and accurate client billing across the enterprise.
• This role supports accounts receivable, billing quality assurance, and invoice processing, while also providing secondary operational support for associates that may include, but is not limited to, travel and associate expense operations, scheduling, and client team support on various administrative client matters.
• Working closely with the Revenue Operations and Systems Manager, this position partners with Finance, HR, IT, consulting staff, and client teams to ensure billing accuracy, maintain policy compliance, and identify process improvements.
• The Specialist also contributes to documentation, training, and project management activities to enhance enterprise-wide financial operations.
• Conduct monthly billing QA reporting, including pre-bill adjustments, mark-ups, invoice consolidations, addition of value-added fees and data charges.
• Analyze client work in progress (WIP), prepare and format invoices, coordinate approvals and finalize or reinstate when needed.
• Work with consultants to modify invoice details, enter new clients and project codes, and maintain accuracy and compliance with contract specifications.
• Assist client teams with accurate capture and approval of billable time and expenses.
• Submit finalized invoices by auto e-bill or client-specific portals, ensuring write-offs are properly documented and approved.
• Monitor accounts receivable balances, aged receivables and WIP; resolve billing issues and client inquiries.
• Maintain accurate client billing information updating in coordination with associates and client teams.
• Serve as a subject matter expert on the enterprise’s billing process and related software.
• Continually identify and implement process improvements in billing, time tracking, and travel expense workflows in collaboration with Shared Services departments and business unit leaders.
• Process or serve as a backup for staff record updates (new hires, role changes, permissions) in coordination with HR.
• Help maintain system integrity and assist with upgrades, integrations, and administration of billing, timekeeping, and expense management platforms.
• Assist with project management activities in support of Finance and Operations initiatives, and support travel coordinators with expense submissions.
• Train associates and consulting staff on billing and expense procedures, systems, and best practices.
• Support administration of the organization’s T&E policy by reviewing and monitoring expense submissions and corporate card activity, ensuring compliance with IRS and internal guidelines, and escalating policy exceptions as needed.
• Contribute to internal communications, documentation, and knowledge sharing to ensure consistency across teams.
• Manage special projects, provide subject matter expertise, and train or mentor other billing support staff.
• Interact with department leaders, consultants, or other associates to troubleshoot complex issues.
• Reissue approved reinstated invoices when changes are required.
• Assist with creating and maintaining documentation of procedures regularly to ensure they are up to date and accurate.

Billing Operations Specialist

• Provide Epic product function, design, and build expertise and experience needed for successful product implementation.
• Serve as the primary resource dedicated to application design, validation, and build within assigned area.
• Assess current state, design and implement future-state workflows by interacting with department representatives to analyze business/operational needs, and translate these into proper system configuration.
• Provide demonstration of system functionality; create and submit regular status reports to immediate Lead Analyst/Project Manager/IT Leadership as assigned.
• Coordinate/facilitate organizational meetings and attend weekly team meetings to discuss team and project related activities, issues, changes, communications, and updates.
• Develop, support, and maintain documentation and procedures as needed and provide training to other IT staff and user clients as appropriate.
• Troubleshoot problems identified by team members and end-users, analyze and coordinate system changes, and implement approved changes based on customer-designated priorities.
• Review and test build and new releases/enhancements prior to implementing in the production environment, and maintain established guidelines related to build standards and Change Control processes.
• Collaborate with Principal Trainers in the design and development of role-based training programs to support the workflows to be implemented, and assist with training of end-users on proper use of the system.
• Contribute to preparation of testing scripts, perform unit/system/integrated testing tasks in a structured manner, and appropriately document test results.
• Provide expertise and experience to the development of activation plans, application activation tasks, and production environment readiness.
• Provide on-site support as needed during Go-live/Downtime events.

Senior Analyst – Epic Hospital Billing

• Responsible for planning, directing, organizing, monitoring and staffing departmental services.
• Oversees and coordinates the insurance billing function, including claims submission, follow-up, and denial management.
• Supports staff in maintaining accuracy and timeliness in claims processing.
• Develops and implements quality assurance initiatives and monitors compliance with payer and policy requirements.
• Conducts regular audits and analyzes performance metrics.
• Partners with Revenue Cycle leadership on training and process improvement initiatives.

Insurance Billing Supervisor – Full Time, Day Shift

• Collaborate with advisors to maximize client invoice amounts
• Work efficiently to complete client billing
• Effectively manage Work In Process (WIP)
• Prepare billing detail and WIP analysis for review with billers
• Generate workflow reports to identify completed jobs for billing analysis
• Prepare and approve invoices for delivery to clients
• Communicate with advisors, Regional Managing Principals, and Administrative Services team to ensure timely billing
• Discuss proposed billing amounts with advisors to increase billing amounts appropriately
• Discover additional work completed beyond scope and bring it to the advisor’s attention
• Understand industry terminology to accurately identify and describe services provided
• Collaborate with advisors to increase billing performance metrics
• Demonstrate exceptional time management skills using Outlook calendar to manage the billing process

Regional Billing Specialist

• Manage and maintain provider schedules and virtual appointment templates.
• Monitor and update internal systems, documentation, and digital workflows to ensure operational accuracy.
• Coordinate onboarding logistics for new staff, including system access, credentialing documentation collection, and internal setup tasks.
• Track and follow up on administrative deadlines, credentialing timelines, vendor tasks, and recurring operational processes.
• Ensure all incoming work is processed within specified SLAs and follows Sanusom’s workflow including entry into all shared trackers in Teams, EHR, Sanusom Portal, CallShaper, etc.
• Perform insurance eligibility checks and verify patient coverage using payer portals or clearinghouses.
• Accurately input and update patient insurance and demographic information in the shared trackers, EHR, Sanusom Portal, etc.
• Prepare daily/weekly/monthly billing batches and ensure accurate coding and charge capture data is passed to billing partners or internal billers.
• Assist in monitoring denied claims or rejections by coordinating with billing vendors or RCM teams for follow-up.
• Maintain payer records and documentation needed for audits or payer communication.
• Manage user permissions and internal system configurations across clinic tools (EHR, scheduling, telehealth platforms, etc.).
• Support platform troubleshooting and coordinate with internal/external tech support for escalations.
• Document internal SOPs and operational protocols; ensure consistency across workflows.
• Act as an internal point of contact for operational questions from clinical or administrative staff.
• Support preparation for internal team meetings, generate reports, and track action items or KPIs as assigned.
• Coordinate recurring administrative functions (e.g., provider onboarding trackers, insurance renewals, system audits).

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