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Premium Billing Jobs (NOW HIRING)

Benefits Billing Analyst I/II/III

Bismarck, ND · On-site

$43K - $57K/yr

Handle premium billing, employee and retiree contributions/payments, and prepare billings for approval and payment. Coordinate, research, report, and analyze various benefit requests from senior ...

Premium Billing * CMS Guidelines * Capitation Revenue reconciliation * Member correspondence * Medicare operations workflow This Expert must be able to play a leadership role in managing and ...

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Premium Billing information

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How much do premium billing jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for premium billing in the United States is $25.14, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.64 per hour, depending on experience, location, and employer.

What is premium billing?

Premium billing refers to the process of invoicing and collecting payments from customers for insurance policies or other subscription-based services. It involves generating bills, tracking payments, handling discrepancies, and ensuring that premiums are paid on time to avoid lapses in coverage. Professionals in premium billing often work with both customers and internal teams to resolve billing issues and answer questions related to payment schedules and amounts.

What are some common challenges faced by professionals working in premium billing, and how can they be managed?

Professionals in Premium Billing often encounter challenges such as reconciling discrepancies in invoices, managing high volumes of data accurately, and addressing customer inquiries about billing issues. Staying organized and maintaining attention to detail are key to successfully managing these tasks. Many teams use specialized billing software to streamline processes and reduce manual errors, and collaboration with customer service and accounting departments is essential for resolving complex cases. Ongoing training in system updates and regulatory changes also helps professionals stay effective in this dynamic field.

What is the difference between Premium Billing vs Medical Billing?

AspectPremium BillingMedical Billing
CredentialsTypically requires billing certification or related trainingRequires medical coding and billing certifications
Work EnvironmentInsurance companies, healthcare providers, billing servicesHospitals, clinics, physician offices
Industry UsageUsed in insurance premium invoicing and collectionsUsed for processing healthcare claims and payments
Common Search/ComparisonPremium Billing vs Medical Billing

Premium Billing focuses on invoicing and collecting insurance premiums, often requiring knowledge of insurance policies and billing procedures. Medical Billing involves processing healthcare claims, coding diagnoses and procedures, and working closely with healthcare providers. While both roles involve billing, Premium Billing centers on insurance premiums, whereas Medical Billing is dedicated to healthcare services and claims processing.

What are the key skills and qualifications needed to thrive as a premium billing specialist, and why are they important?

To thrive as a Premium Billing Specialist, you need a solid understanding of accounting principles, billing processes, and insurance industry regulations, typically supported by a relevant associate's or bachelor's degree. Familiarity with billing software, spreadsheets, and ERP systems like SAP or Oracle is commonly required. Attention to detail, problem-solving abilities, and effective communication are crucial soft skills for handling client inquiries and resolving discrepancies. These skills ensure accurate premium invoicing, timely payments, and strong client relationships, which are vital for financial stability and customer satisfaction.
More about Premium Billing jobs
What are the most commonly searched types of Premium Billing jobs? The most popular types of Premium Billing jobs are:
Infographic showing various Premium Billing job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 19% Part Time, 1% Temporary, 11% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $52,300 per year, or $25.1 per hour.

Policy Billing Representative

Emergent Holdings

Lansing, MI

$17.25 - $22.25/hr

Full-time

Posted 19 days ago


Job description

Note: This position has a schedule requirement of 8pm shift end time on Mondays, the remainder of the week will be 5:30 shift end time.

SUMMARY: 
Primarily responsible for supporting the billing needs of agents and policyholders providing accurate and consistent services regarding invoice inquiries and premium transaction activity.  Approve changes in accordance with billing rules and procedures in compliance with Accident Fund and/or bureau rules and regulations. Contacts include Service Center staff, Finance Department, Premium Audit Department, Claims Department, agents, and policyholders.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. 
    Answers inquiries from agents and policyholders regarding invoices, disbursements, payments, and other billing transactions.
    Requests write offs to resolve small balance and NSF fee discrepancies within guidelines.
    Initiates, reviews, and approves disbursements.
    Reconciles and troubleshoots accounts to clarify billing transactions and cash applications in order to provide customers with up-to-date account information/history.
    Reviews and processes policy cancellation transactions in accordance with state regulations and Enterprise guidelines
    Reviews, calculates, and processes reinstatements in accordance with state regulations and Enterprise guidelines.
    Manages reinstatement exception requests and approves exceptions within authority.
    Approves, processes and documents payment arrangements with customers on audit balances per guidelines.
    Processes pay by phone transactions to expedite posting of cash to insured's policy.
    Requests and/or processes money moves and credit distributions to ensure accurate posting of cash.
    Processes and documents any manual billing exceptions in accordance with the Enterprise guidelines.
    Provides High level account reconciliation for troubleshooting with multiple data points across multiple billing platforms.
    Review payments returned from the bank.  Contact customers to resolve banking information issues to avoid cancellation or collections.
    Approve and process pay plan changes within authority.
    Process loss run requests as necessary.
    Prepares correspondence to communicate necessary information to agents and policyholders.
    Coordinates and resolves customer complaints, errors, and service issues, placing holds on certain billing functions when deemed necessary.
    Ensures payrolls are reported timely for all AccuPremium clients and takes necessary action if payrolls are not reported.
    Reviews and allocates collateral appropriately.
    Makes appropriate decisions based on interpretation of policies and procedures.
    Supports appropriate response to Bureau, NCCI, and internal and external audit inquiries.
    Participates in ad-hoc projects as assigned by management.
    Acts as a subject matter expert to support system implementations or upgrades, as necessary.
    Works with minimum supervision
    Maintains confidentiality of information processed.


This description identifies the responsibilities typically associated with the performance of the job. The percentage of time in any responsibility may vary between positions.  Other relevant essential functions may be required.

    EDUCATION AND EXPERIENCE  
    Relevant combination of education and experience may be considered in lieu of degree.
EDUCATION REQUIRED:
High school diploma or G.E.D. Minimum of an associate's degree in accounting, Finance, Business, or related field.  Combinations of education and experience may be considered in lieu of a degree.  

A.    EXPERIENCE REQUIRED: 
Two (2) years' experience with AF Group as a Payment Application Specialist

OR

Four (4) years general office experience including two (2) years of customer service with billing or insurance related experience; specifically, exchanging information over the phone, resolving complaints, and answering basic inquiries. A combination of insurance and financial experience may be considered.

OR

Bachelor's degree in accounting, Finance, Business, or related field with one (1) year billing or insurance related experience; specifically, exchanging information over the phone, resolving complaints, and answering basic inquiries.

    QUALIFICATIONS
    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

B.    OTHER SKILLS AND ABILITIES 
    Ability to work effectively in a multi-functional, multi state business unit.
    Knowledge of state specific premium billing rules.
    Ability to accurately interpret and analyze premium billing data.
    Excellent oral and written communication skills.
    Excellent organizational skills and ability to prioritize work.
    Knowledge of bookkeeping and financial institution/EFT procedures.
    Strong understanding of Enterprise billing systems
    Strong customer service skills
    Ability to manage multiple priorities and meet established deadlines.
    Knowledge of computers.
    Basic knowledge of word processing.
    Basic knowledge of spreadsheet software.
    Strong analytical and problem-solving skills.
    Knowledge of multi-line telephone system.
    Ability to process transactions on core processing systems.
    Ability to enter alpha/numeric data accurately.
    Ability to proofread documents for accuracy of spelling, grammar, punctuation, and format.
    Excellent math skills with the ability to use a ten-key adding machine.

C.    ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED: 
    Successful completion of business writing course.

ADDITIONAL INFORMATION 
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.

WORKING CONDITIONS:
Work is performed in an office setting with no unusual hazards.  

Note: This position has a schedule requirement of 8pm shift end time on Mondays, the remainder of the week will be 5:30 shift end time. 
 

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