Strong working knowledge of claims administration, premium billing, contract configuration, and payment integrity processes * Ability to develop workflows, productivity standards, and performance ...
Strong working knowledge of claims administration, premium billing, contract configuration, and payment integrity processes * Ability to develop workflows, productivity standards, and performance ...
Staff Accountant I
Urbandale, IA · On-site +1
$51K - $67K/yr
Review and reconcile premium billing activity, direct bill balances, agency bill accounts, and other receivable activity to ensure accurate policyholder and agent account balances. * Process direct ...
Staff Accountant I
Urbandale, IA · On-site +1
$51K - $67K/yr
Review and reconcile premium billing activity, direct bill balances, agency bill accounts, and other receivable activity to ensure accurate policyholder and agent account balances. * Process direct ...
Strong working knowledge of claims administration, premium billing, contract configuration, and payment integrity processes * Ability to develop workflows, productivity standards, and performance ...
Strong working knowledge of claims administration, premium billing, contract configuration, and payment integrity processes * Ability to develop workflows, productivity standards, and performance ...
Premium Coordinator (Remote)
Indianapolis, IN · On-site +1
$31.50 - $40.74/hr
... billing, claims, membership, or finance. * 2-3 years of experience in insurance operations, premium billing, accounts receivable, or a related financial or administrative role. Required Skills and ...
Premium Coordinator (Remote)
Indianapolis, IN · On-site +1
$31.50 - $40.74/hr
... billing, claims, membership, or finance. * 2-3 years of experience in insurance operations, premium billing, accounts receivable, or a related financial or administrative role. Required Skills and ...
... premium billing and reconciliation, contract administration, and payment integrity functions.This role directs multiple operational teams and managers, ensuring the timely, accurate, and compliant ...
Quick apply
... premium billing and reconciliation, contract administration, and payment integrity functions.This role directs multiple operational teams and managers, ensuring the timely, accurate, and compliant ...
Customer Operations Sr Rep
Saint Paul, MN · On-site
$18.80 - $32.69/hr
Process high-volume premium billing transactions with accuracy and efficiency while meeting established service, quality, and productivity expectations. * Ensure accurate and timely premium billing ...
New
Customer Operations Sr Rep
Saint Paul, MN · On-site
$18.80 - $32.69/hr
Process high-volume premium billing transactions with accuracy and efficiency while meeting established service, quality, and productivity expectations. * Ensure accurate and timely premium billing ...
New
Customer Operations Sr Rep
Saint Paul, MN · Hybrid
$18.80 - $32.69/hr
Process high-volume premium billing transactions with accuracy and efficiency while meeting established service, quality, and productivity expectations. * Ensure accurate and timely premium billing ...
Customer Operations Sr Rep
Saint Paul, MN · Hybrid
$18.80 - $32.69/hr
Process high-volume premium billing transactions with accuracy and efficiency while meeting established service, quality, and productivity expectations. * Ensure accurate and timely premium billing ...
Customer Operations Sr Rep
Saint Paul, MN · On-site
$18.80 - $32.69/hr
Process high-volume premium billing transactions with accuracy and efficiency while meeting established service, quality, and productivity expectations. * Ensure accurate and timely premium billing ...
Customer Operations Sr Rep
Saint Paul, MN · On-site
$18.80 - $32.69/hr
Process high-volume premium billing transactions with accuracy and efficiency while meeting established service, quality, and productivity expectations. * Ensure accurate and timely premium billing ...
Customer Operations Sr Rep
Saint Paul, MN · On-site
$18.80 - $32.69/hr
Process high-volume premium billing transactions with accuracy and efficiency while meeting established service, quality, and productivity expectations. * Ensure accurate and timely premium billing ...
Customer Operations Sr Rep
Saint Paul, MN · On-site
$18.80 - $32.69/hr
Process high-volume premium billing transactions with accuracy and efficiency while meeting established service, quality, and productivity expectations. * Ensure accurate and timely premium billing ...
Customer Operations Sr Rep
Saint Paul, MN · On-site
$18.80 - $32.69/hr
Process high-volume premium billing transactions with accuracy and efficiency while meeting established service, quality, and productivity expectations. * Ensure accurate and timely premium billing ...
New
Customer Operations Sr Rep
Saint Paul, MN · On-site
$18.80 - $32.69/hr
Process high-volume premium billing transactions with accuracy and efficiency while meeting established service, quality, and productivity expectations. * Ensure accurate and timely premium billing ...
New
Group Premium Services Representative
Omaha, NE · On-site +1
$22/hr
Research and resolve premium, billing, and policy inquiries from employers, members, internal partners, and business areas while maintaining confidentiality. * Analyze data and reports to identify ...
Group Premium Services Representative
Omaha, NE · On-site +1
$22/hr
Research and resolve premium, billing, and policy inquiries from employers, members, internal partners, and business areas while maintaining confidentiality. * Analyze data and reports to identify ...
Premium Coordinator (Remote)
San Francisco, CA · On-site +1
$31.50 - $40.74/hr
... billing, claims, membership, or finance. * 2-3 years of experience in insurance operations, premium billing, accounts receivable, or a related financial or administrative role. Required Skills and ...
Premium Coordinator (Remote)
San Francisco, CA · On-site +1
$31.50 - $40.74/hr
... billing, claims, membership, or finance. * 2-3 years of experience in insurance operations, premium billing, accounts receivable, or a related financial or administrative role. Required Skills and ...
Premium Coordinator (Remote)
Fort Wayne, IN · On-site +1
$31.50 - $40.74/hr
... billing, claims, membership, or finance. * 2-3 years of experience in insurance operations, premium billing, accounts receivable, or a related financial or administrative role. Required Skills and ...
Premium Coordinator (Remote)
Fort Wayne, IN · On-site +1
$31.50 - $40.74/hr
... billing, claims, membership, or finance. * 2-3 years of experience in insurance operations, premium billing, accounts receivable, or a related financial or administrative role. Required Skills and ...
Premium Admin - Billing Specialist
Anderson, IN · On-site
$16.75 - $22.50/hr
As a full-time Premium Admin - Billing Specialist with our Anderson, IN team, you'll make sure crucial accounting and bookkeeping functions are properly handled, and all records are 100% correct. If ...
Premium Admin - Billing Specialist
Anderson, IN · On-site
$16.75 - $22.50/hr
As a full-time Premium Admin - Billing Specialist with our Anderson, IN team, you'll make sure crucial accounting and bookkeeping functions are properly handled, and all records are 100% correct. If ...
Premium Admin - Billing Specialist
Anderson, IN · On-site
$16.75 - $22.50/hr
As a full-time Premium Admin - Billing Specialist with our Anderson, IN team, you'll make sure crucial accounting and bookkeeping functions are properly handled, and all records are 100% correct. If ...
Premium Admin - Billing Specialist
Anderson, IN · On-site
$16.75 - $22.50/hr
As a full-time Premium Admin - Billing Specialist with our Anderson, IN team, you'll make sure crucial accounting and bookkeeping functions are properly handled, and all records are 100% correct. If ...
Premium Admin - Billing Specialist
Anderson, IN · On-site
$16.75 - $22.50/hr
As a full-time Premium Admin - Billing Specialist with our Anderson, IN team, you'll make sure crucial accounting and bookkeeping functions are properly handled, and all records are 100% correct. If ...
Quick apply
Premium Admin - Billing Specialist
Anderson, IN · On-site
$16.75 - $22.50/hr
As a full-time Premium Admin - Billing Specialist with our Anderson, IN team, you'll make sure crucial accounting and bookkeeping functions are properly handled, and all records are 100% correct. If ...
Customer Service Representative II (Remote)
Chicago, IL · On-site +1
$23.63 - $30.83/hr
Provide information regarding benefits, eligibility, plan provisions, premium billing, customer conservation, cross selling and upselling for all insurance plans. * Identify and escalate priority or ...
Customer Service Representative II (Remote)
Chicago, IL · On-site +1
$23.63 - $30.83/hr
Provide information regarding benefits, eligibility, plan provisions, premium billing, customer conservation, cross selling and upselling for all insurance plans. * Identify and escalate priority or ...
Be Seen First
Client Service Representative II
Reno, NV · On-site
$20/hr
Utilize automated systems to respond to inquiries related to policy coverage, premium billing, payment status, and routine policy coverage * Serve as the primary contact for customer interactions ...
Quick apply
Be Seen First
Client Service Representative II
Reno, NV · On-site
$20/hr
Utilize automated systems to respond to inquiries related to policy coverage, premium billing, payment status, and routine policy coverage * Serve as the primary contact for customer interactions ...
Premium Auditor
Fayetteville, NC · On-site
$300K/yr
Premium Auditors examine the financial records of businesses insured by commercial property and ... Billable hour rates vary based on experience and knowledge - range is $44 -$50 per billable hour
Premium Auditor
Fayetteville, NC · On-site
$300K/yr
Premium Auditors examine the financial records of businesses insured by commercial property and ... Billable hour rates vary based on experience and knowledge - range is $44 -$50 per billable hour
Premium Auditor
Indianapolis, IN · On-site
$300K/yr
Premium Auditors examine the financial records of businesses insured by commercial property and ... Billable hour rates vary based on experience and knowledge - range is $44 -$50 per billable hour
Premium Auditor
Indianapolis, IN · On-site
$300K/yr
Premium Auditors examine the financial records of businesses insured by commercial property and ... Billable hour rates vary based on experience and knowledge - range is $44 -$50 per billable hour
Premium Billing information
See salary details
$13.46 - $15.89
3% of jobs
$15.89 - $18.31
13% of jobs
$19.21 is the 25th percentile. Wages below this are outliers.
$18.31 - $20.74
24% of jobs
The median wage is $22.02 / hr.
$20.74 - $23.16
18% of jobs
$23.16 - $25.59
13% of jobs
$26.53 is the 75th percentile. Wages above this are outliers.
$25.59 - $28.02
10% of jobs
$28.02 - $30.44
6% of jobs
$30.44 - $32.87
6% of jobs
$32.87 - $35.29
2% of jobs
$35.29 - $37.72
2% of jobs
$37.72 - $40.14
2% of jobs
$13
$25
$40
How much do premium billing jobs pay per hour?
What is premium billing?
What are some common challenges faced by professionals working in premium billing, and how can they be managed?
What is the difference between Premium Billing vs Medical Billing?
| Aspect | Premium Billing | Medical Billing |
|---|---|---|
| Credentials | Typically requires billing certification or related training | Requires medical coding and billing certifications |
| Work Environment | Insurance companies, healthcare providers, billing services | Hospitals, clinics, physician offices |
| Industry Usage | Used in insurance premium invoicing and collections | Used for processing healthcare claims and payments |
| Common Search/Comparison | Premium 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?

Full-time
Re-posted 22 days ago
Job description
Department: Claims
FLSA: Exempt
Schedule: As required
About the role:
We are seeking a Claims Operations Director to lead and oversee Capital Health Plan's end-to-end claims operations, including claims processing, other party liability (OPL) recoveries, premium billing and reconciliation, contract administration, and payment integrity functions.
This role directs multiple operational teams and managers, ensuring the timely, accurate, and compliant processing of claims and premiums while maintaining the integrity of provider records, contract configurations, and reimbursement systems. The Claims Operations Director partners closely with senior leadership, cross-functional teams, and third-party vendors to drive operational performance, regulatory compliance, system enhancements, and continuous improvement across all claims-related functions.
We're looking for someone who has:
- Bachelor's degree from an accredited four-year college or university, or equivalent education and experience
- Significant leadership experience in claims operations, healthcare administration, or related functions; ten years of related experience preferred
- Demonstrated experience managing multi-disciplinary operational teams within a healthcare or payer environment
- Strong working knowledge of claims administration, premium billing, contract configuration, and payment integrity processes
- Ability to develop workflows, productivity standards, and performance metrics to meet operational and regulatory goals
- Strong analytical skills with experience using data to set KPIs and support senior leadership reporting
- Thorough understanding of healthcare billing and coding concepts (e.g., CPT, ICD, revenue codes)
- Strong written and verbal communication skills, including the ability to present complex operational information to senior leadership
Highly preferred candidates also have:
- Experience overseeing Medicare reimbursement processes and adapting to regulatory changes
- Experience with provider contract administration and system configuration management
- Experience managing software enhancements, reimbursement systems, or claims adjudication platforms
- Familiarity with provider billing operations and dispute resolution processes
- Strong financial acumen, including basic accounting knowledge and reconciliation concepts
- Experience leading cross-functional initiatives to improve claims, billing, or payment integrity outcomes
About Capital Health Plan (CHP):
CHP is a locally based, not-for-profit health maintenance organization serving the Tallahassee region for more than four decades. Founded by community leaders with a mission to deliver high-quality, affordable, and patient-centered health care, CHP has grown into a nationally recognized healthcare organization while remaining deeply rooted in the communities it serves.
CHP is proud to be an Equal Opportunity Employer and is committed to maintaining a workplace that values professionalism, integrity, and respect. We provide equal employment opportunities to all employees and applicants and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.
About Capital Health Plan
Sourced by ZipRecruiter
In 1982, a group of Tallahassee’s civic leaders came together to create a quality, affordable health care system to meet the health needs of the community. Forty years later, Capital Health Plan has become a national health care leader. We started with 5,000 members and a network of 75 doctors. We’ve now grown to more than 135,000 members with a broad network of more doctors, hospitals and other health care providers throughout our service area. A key component of CHP’s delivery system is its employed medical staff, who practice in three state-of-the-art health centers CHP has developed to serve its membership. These health centers are equipped with electronic medical records and can accommodate a broad range of preventive, primary, and specialty care services including evening and weekend urgent care, lab, x-ray, digital mammography, ultrasound, colon screening, eye care services, wound care, and a center focused on the needs of chronically ill members. CHP’s ability to offer this highly organized component of its delivery system provides unique opportunities for adding value. The staff model of CHP’s delivery system is the engine of our program, consistently driving better results on measures of clinical care, member satisfaction, and affordability. As a not-for-profit HMO, we exist to improve the health of our communities by providing high quality, comprehensive health plans with low administrative costs, through primary care focused, patient-centered healthcare.
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Tallahassee, FL, US
Year founded
1982