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Premium Billing Jobs (NOW HIRING)

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 ...

Expertise in Payer ecosystem -- Enrollment & Premium Billing, Medicare, 834 files Technical understanding of Data models along Healthcare Applications - Preferably QNXT SQL Technical Proficiency ...

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Premium Billing information

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How much do premium billing jobs pay per hour?

As of Jul 2, 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 a premium billing specialist job description?

A premium billing specialist is responsible for processing and managing insurance premium payments, ensuring accurate billing, and resolving billing discrepancies. They often use billing software and have knowledge of insurance policies and regulations to maintain accurate financial records and support customer inquiries.

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 jobs pay $500,000 a year in the US?

In premium billing roles, high salaries of $500,000 or more are rare and typically found in executive-level positions such as Chief Financial Officers or senior finance executives, especially in large corporations. These roles often require extensive experience, advanced degrees, and strong leadership skills, with compensation including base salary, bonuses, and stock options. Most billing or finance-related jobs do not reach this salary level without significant seniority and responsibility.

What is the highest paying medical billing job?

The highest paying medical billing roles are often senior positions such as Medical Billing Managers or Billing Directors, who oversee billing departments and ensure compliance. These roles typically require extensive experience, leadership skills, and knowledge of billing software and coding standards, with salaries significantly higher than entry-level positions.

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.

Is it hard to get hired as a medical biller?

Getting hired as a medical biller generally requires relevant training or certification, attention to detail, and familiarity with billing software and healthcare regulations. While demand for medical billers is steady, competition can vary based on location and experience, but entry-level positions are often accessible with proper skills and credentials.

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 June 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, 2% Temporary, 3% 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.
Senior Acquisition Process Integration Analyst

Senior Acquisition Process Integration Analyst

Gallagher

Rolling Meadows, IL

$86K - $107K/yr

Other

Medical, Dental, Vision, Life, Retirement

Posted 8 days ago


Arthur J. Gallagher & Co. rating

7.7

Company rating: 7.7 out of 10

Based on 88 frontline employees who took The Breakroom Quiz

180th of 277 rated insurance


Job description

Introduction
Welcome to Gallagher - a global community of people who bring bold ideas, deep expertise, and a shared commitment to doing what’s right. We help clients navigate complexity with confidence by empowering businesses, communities, and individuals to thrive. At Gallagher, you’ll find more than a job; you’ll find a culture built on trust, driven by collaboration, and sustained by the belief that we’re better together. Whether you join us in a client-facing role or as part of our brokerage division, our benefits and HR consulting division, or our corporate team, you’ll have the opportunity to grow your career, make an impact, and be part of something bigger. Experience a workplace where you’re encouraged to be yourself, supported to succeed, and inspired to keep learning. That’s what it means to live The Gallagher Way.

How you'll make an impact

As the Senior Analyst of Transactional Accounting Process Integration at Arthur J. Gallagher, one of the largest insurance brokerage companies globally, you will play a pivotal role in ensuring the seamless transition of transactional accounting functions. This includes banking, cash application, special handling, payables (premium, broker. SLT), premium billing, and direct bill commission processing. The position demands a unique combination of transactional accounting expertise, insurance industry knowledge, and project management skills to drive successful integration processes.

This role is instrumental in enabling operational excellence and supporting sustainable growth by ensuring the effective integration of transactional accounting functions across the organization.

Key Responsibilities:

  1. Integration Planning and Strategy:
    • Develop comprehensive integration plans for transactional accounting functions that align with the company’s strategic objectives and operational requirements.
    • Collaborate with cross-functional teams to define integration milestones, timelines, and resource needs.
  2. Financial Impact Assessment:
    • Conduct detailed financial analyses to evaluate the impact of integration activities on banking, cash application, special handling, premium billing, and commission billing processes.
    • Partner with NAC teams (Accounts Receivable, Billing, Accounts Payable, Senior Leadership Team) to ensure a smooth transition with proper controls in place.
  3. Special Handling:
    • Manage the integration of special handling processes for cash applications, direct bill commission posting, premium, broker commission, & SLT payables.
    • Ensure compliance with Corporate Finance Policy and industry standards while implementing robust controls and reporting mechanisms to mitigate fraud risks.
  4. Cash Application and Reconciliation:
    • Lead the integration of cash application processes, documenting special handling procedures and ensuring the Accounts Receivable team is well-prepared.
    • Develop automated cash reconciliation procedures to enhance efficiency and accuracy, reducing manual intervention and minimizing discrepancies.
  5. Payables Management for Premiums, Commissions, and Claims:
    • Streamline payables management processes for premium payments, commissions, and claims settlements.
    • Optimize carrier relationships and payment terms while developing standardized workflows and approval processes to improve transparency and control.
  6. Premium Billing and Direct Bill Commission Billing:
    • Oversee the integration of premium billing and direct bill commission billing processes, ensuring accuracy and timeliness in invoicing and commission payments.
    • Collaborate with insurance carriers and brokers to reconcile premium accounts and commission statements, resolve discrepancies, and ensure compliance with contractual agreements.
  7. Stakeholder Engagement and Communication:
    • Act as a key liaison between accounting teams, business units, insurance carriers, brokers, and external partners throughout the integration process.
    • Communicate integration objectives, progress updates, and potential risks to stakeholders, fostering collaboration and alignment.
  8. Change Management and Training:
    • Develop change management strategies to prepare NAC teams for the transition.
    • Provide training and support to transactional teams and operational staff on new processes, systems, and controls introduced during the integration.

About You

Required:

  • Bachelor’s Degree in Accounting or Finance and 7 years of accounting project experience. 
  • 10% - 35% travel required.
  • Proficient in Microsoft Excel and Word.
  • Requires specialized depth and/or breadth of expertise.

Preferred:

  • Bachelor’s degree in Accounting, Finance, Business Administration, or a related field; CPA or equivalent certification preferred.
  • Minimum of 7 years of experience in transactional accounting roles within the insurance brokerage or financial services industry, with a focus on premium & broker payables and commission processing.
  • Comprehensive knowledge of insurance accounting principles, regulatory requirements, and industry best practices.
  • Proven track record of leading successful integration projects, with strong project management and change management expertise.
  • Exceptional analytical and problem-solving skills.
  • Excellent communication and interpersonal abilities, with the capacity to engage and influence stakeholders across all organizational levels.
  • Ability to work independently and collaboratively within a team environment.
  • Strong organizational and time management skills to prioritize tasks and meet deadlines effectively.
  • Willingness to travel as needed to acquisition partners and corporate headquarters.
  • Proficiency in accounting software and Microsoft Office applications.

#APIntegration

#LI-TL1


Compensation and benefits

We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. 

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

  • Medical/dental/vision plans, which start from day one!
  • Life and accident insurance
  • 401(K) and Roth options
  • Tax-advantaged accounts (HSA, FSA)
  • Educational expense reimbursement
  • Paid parental leave

Other benefits include:

  • Digital mental health services (Talkspace)
  • Flexible work hours (availability varies by office and job function)
  • Training programs
  • Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
  • Charitable matching gift program
  • And more...

**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

We value inclusion and diversity

Click Here to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Qualifications:

Required:

  • Bachelor’s Degree in Accounting or Finance and 7 years of accounting project experience. 
  • 10% - 35% travel required.
  • Proficient in Microsoft Excel and Word.
  • Requires specialized depth and/or breadth of expertise.

Preferred:

  • Bachelor’s degree in Accounting, Finance, Business Administration, or a related field; CPA or equivalent certification preferred.
  • Minimum of 7 years of experience in transactional accounting roles within the insurance brokerage or financial services industry, with a focus on premium & broker payables and commission processing.
  • Comprehensive knowledge of insurance accounting principles, regulatory requirements, and industry best practices.
  • Proven track record of leading successful integration projects, with strong project management and change management expertise.
  • Exceptional analytical and problem-solving skills.
  • Excellent communication and interpersonal abilities, with the capacity to engage and influence stakeholders across all organizational levels.
  • Ability to work independently and collaboratively within a team environment.
  • Strong organizational and time management skills to prioritize tasks and meet deadlines effectively.
  • Willingness to travel as needed to acquisition partners and corporate headquarters.
  • Proficiency in accounting software and Microsoft Office applications.

#APIntegration

#LI-TL1

Education:UNAVAILABLEEmployment Type: UNAVAILABLE

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