Billing Operations Specialist

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.