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Billing Operations Specialist

Remote, United States remote Entry Salary not listed
remote Technology & IT Curated
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About the role

Life is too short to work with jerks.
Join our team at NCD, a top-tier insurance provider, consisting of a unique and eclectic group of winners, nerds, and gamers who balance a fun, kind, and thoughtful approach to life with an unwavering commitment to unparalleled member satisfaction. Our ecosystem is rooted in our five core values: Relentless Positivity, Growth Obsessed, Get it Done, Helpful Spirit, and Solution Driven.
We are not just coworkers, but a community, working tirelessly towards 'Spreading the Smile' to our members, agents, and each other. NCD is at the forefront of dental and vision insurance, in partnership with our carrier partners MetLife, VSP, and Zurich. Our continuous growth is a testament to our commitment to delivering outstanding agent and customer satisfaction.
If you are ready to win each day, are eager to grow, and aspire to contribute to an organization that is setting the pace in the industry, then we are looking for you. Together, let’s drive change and take NCD to new heights. Join us and become a vital part of our success story as we continue to transform lives and 'Spread the Smile.
Summary
NCD is seeking a Billing Operations Coordinator to join our Operations team. This role owns the full lifecycle of billing accuracy, payment file processing, partner analytics, and exception resolution across NCD's member and carrier ecosystem, while also serving as the team's eyes on billing data trends and reporting. You will be the connective tissue between our enrollment platform (E123), payment gateway (NMI), and our carrier partners, keeping billing clean, exceptions resolved, files moving without disruption, and patterns surfaced before they become problems.
This is a high-ownership, detail-oriented role built for someone with a foundation in operations or billing who is ready to take the next step. You take pride in running tight processes, dig into the numbers to understand what is driving them, and thrive in an environment where precision directly impacts member experience and carrier relationships. If you are someone who finds satisfaction in owning a workstream end to end, getting it right every time, and bringing insight to what the data is telling you, this role was built for you.
Essential Duties and Responsibilities
Billing and Exception Management
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.

Declines Monitoring and Reporting
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.

Payment Files and Carrier Operations
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.

Cross-Functional Partnership
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.
Must-Have Skills and Experience
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.
Preferred Skills and Experience
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.
What Success Looks Like in the First 90 to 180 Days
Within the first 90 days, you have learned NCD's billing systems, carrier file cadence, exception workflows, and operational rhythm. You are running daily and weekly workstreams independently, managing your ticket queue, and building familiarity with the patterns that show up in declines and holds.
Within 180 days, you are owning your workstreams fully, catching exceptions earlier, contributing to process improvements, and serving as a reliable partner to Member Care and carrier teams. Billing accuracy is tighter, escalations are cleaner, and the team has confidence that the billing lane is covered.
NCD 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
Equal Opportunity
NCD is an Equal Opportunity Employer. We are committed to building a team that reflects a variety of backgrounds, perspectives, and skills. We believe our differences make us stronger and help us better serve our members, agents, partners, and each other.
Originally posted on Himalayas

Interview prep

Walk in with sharper answers.

Use this as a quick practice sheet before you speak with the employer.

Role
Technology & IT Administration Data Analysis Operations Remote Collaboration Writing remote

Likely questions

  1. Tell us about work you have done that is close to the Billing Operations Specialist role.
  2. How would you approach your first 30 days at name?
  3. Which of Administration, Data Analysis and Operations have you used recently, and what did it help you achieve?
  4. Describe a time you solved a problem without waiting to be told exactly what to do.
  5. How do you stay organised and communicate clearly when working remotely?

Prepare before the call

  • A recent example that proves your experience with Administration, Data Analysis and Operations.
  • One short story with a problem, your action, and the result.
  • Two examples that show the strengths listed on your CV.
  • A clear reason why this role and company interest you.
  • Your availability, preferred work style, and salary expectations.

Ask them

  • What would success look like in the first 90 days?
  • What are the main problems this hire should help solve?
  • How does the team give feedback and measure good work?
  • What does a normal working week look like for this role?
Practice line

I am interested in the Billing Operations Specialist role because I can bring practical experience in Administration, Data Analysis and Operations, learn the team quickly, and contribute to the outcomes name needs from this hire.

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