Enrollment and Billing Analyst

FedPoint is seeking a detail-oriented and proactive Enrollment and Billing Analyst to join our team. The ideal candidate will be responsible for ensuring the accurate and timely billing of specific insurance premiums, resolving discrepancies in the payment posting processes, and building strong relationships with agency payroll offices. This is a fantastic opportunity for someone with a keen eye for accuracy and a passion for delivering high-quality service in a collaborative environment.

Key Responsibilities

Qualifications

• Reconciliation and Discrepancy Resolution (40%)
• Assess and resolve new enrollment errors, evaluating eligibility and employment/retirement status.
• Investigate and resolve pre-note and billing errors, ensuring timely actions per OPM metrics.
• Reconcile variances between Payment Files and received funds.
• Execute appropriate actions for unexpected payment amounts and process refunds.
• Report eligibility, process, or system issues to management.
• Eligibility and Demographic Maintenance (25%)
• Process system tickets including inactivations, agency name changes, and eligibility controls.
• Update enrollees’ status, addresses, and other key information based on received communications.
• Handle incoming faxes and manage returned mail through the RecordsForce system.
• Quality check and prepare manual letters and direct bills as per guidelines.
• Premium File Processing (15%)
• Transmit Pre-Note files and ensure accurate bill file preparations.
• Perform quality checks on bill files prior to transmission and ensure compliance with OPM (Office of Personnel) metrics.
• Post payment files and validate the bill file processing.
• Payment Processing (10%)
• Process online payment adjustments for return items.
• Research manual payments received without remittance stubs and ensure correct application.
• Investigate unidentifiable payments and apply them appropriately.
• Handle direct payment inquiries and reversals for dishonored checks.
• Relationship Development (9%)
• Document and maintain up-to-date profiles and schedules for agency payroll offices (APOs).
• Resolve billing and payment file issues with APO representatives.
• Act as the key contact for BENEFEDS Customer Service and Data Quality Analysts (DQA).
• Miscellaneous (1%)
• Manage special projects as assigned.
• Act as a backup to other Premium Analysts when needed.
• Education: High School Diploma or GED required.
• Experience: 1 years of experience in enrollment or premium administration, group billing, or employee benefits administration preferred.
• Skills:
• Strong written and verbal communication skills.
• Proficient in computer navigation and data entry.
• Exceptional attention to detail with proven follow-through.
• Ability to manage priorities effectively in a fast-paced environment.
• Strong problem-solving and decision-making skills.
  

Location: Portsmouth, NH

Schedule: Enjoy the perfect balance of in-office collaboration and remote work with a Hybrid schedule, plus the option to work from home a few days a week!

Compensation: The typical starting salary would be between $21-23/hr, based on qualifications and experience as it relates to our requirements. This position is eligible for an annual discretionary employee bonus plan based on company metric performance as well as a full suite of benefits, listed below.

About FedPoint

FedPoint creates and operates digital benefits marketplaces that make it easy for our millions of federal and military customers to understand, select, and use their benefits. A subsidiary of John Hancock Life & Health Insurance Company, FedPoint was founded in 2002 and is headquartered in Portsmouth, NH. To learn more, visit fedpointusa.com.

Why Join Us?

At FedPoint, our mission is to create and deliver world-class benefits experiences for our customers, clients, and business partners.

We offer a dynamic work environment where innovation and collaboration are encouraged. You'll have the opportunity to make a significant impact while honing your skills and advancing your career.

In addition to working for a company with great people and an excellent reputation, what’s in it for you?

• Generous 401k plan: 100% match of employee's contribution, up to a maximum of 6% salary, vests immediately.
• Bonus Opportunity: Qualifying employees can earn up to 7% of their salary, based on company performance. (Inquire about eligibility with our recruiter)
• Lots of paid time off: 3 weeks’ vacation, 7 sick days, 3 personal days, and 12 paid holidays!
• Competitive benefits include health, dental, vision, disability, life, legal, flexible spending account (FSA) and Health Savings Account (HSA) options.
• 6 weeks fully-paid parental leave
• Tuition reimbursement program to support career goals.
• Corporate giving and matching gifts program.
• Volunteer program: Paid time off to volunteer and company-organized volunteering opportunities.
• A wide variety of personal, professional, and career development programs.
• Comprehensive wellness program offering a variety of resources and activities to help support your well-being in the following areas: career, financial, mental, emotional, physical, social and community.
  
  

All offers of employment with FedPoint are conditional upon satisfactory completion of a pre-employment background check.

FedPoint is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability. If you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please call (603) 433-4500. Equal Employment Opportunity (EEO) Poster Family and Medical Leave Act (FMLA) Poster Employee Polygraph Protection Act Poster