Billing Reconciliation Specialist

1 week ago


Portland, Maine, United States Raya Workforce Full time $55,000 - $75,000 per year

Job Title: Temporary Premium Billing Reconciliation Specialist I

Location: Portland, Maine Metropolitan Area

Position Type: Full-Time

Hours: 40 hours/week

We are seeking a Temporary Premium Billing Reconciliation Specialist I for a temporary position for our client, a healthcare organization located in Portland, ME. The Premium Billing Reconciliation Specialist will support the accuracy and integrity of enrollment data by overseeing the day-to-day operational activities of member profile management and health plan data reconciliation. This role is designed to support data entry of financial information and reconciliation of member data. The ideal candidate will be familiar with payment information (Credit Cards, ACH/EFT, etc.), payment portals, and/or QNXT systems. Strong communication and computer skills are essential.

As a Premium Billing Reconciliation Specialist I, you will be responsible for:

  • Maintaining expertise in premium billing knowledge and serving as a learning resource within the team and other departments.
  • Collaborating with the Finance team to ensure timely responses to member premium-related requests, inquiries, and issues.
  • Meeting or exceeding department accuracy and productivity goals.
  • Identifying process and workflow gaps, managing process improvement activities.
  • Performing quality assurance reviews on reporting and data to identify trending issues and opportunities for resolution.
  • Assisting with compliance and audit activities, including compiling documentation requested by internal and external auditors and implementing corrective action plans as needed.
  • Managing account investigations and quality assurance of data found in the premium billing system.
  • Processing member premium refunds and corrections as needed.
  • Resolving escalated premium-related inquiries from members, external customers, and key stakeholders.
  • Responsible for daily payment posting, upload, or electronic payment processes and applications.
  • Identifying system and process defects and providing recommendations for solutions.
  • Working closely with the Premium Billing Specialist II to manage the status and accuracy of overdue or underpaid accounts.

The ideal candidate for this role will have:

  • High School Diploma required, Post-Secondary Education preferred
  • 2+ years of health plan membership enrollment and/or billing processing experience
  • Experience with plan enrollment and supporting systems
  • Intermediate knowledge of Microsoft Access and Excel
  • Exceptional analytical skills
  • Detail-oriented with excellent follow-up skills
  • Excellent communication skills, especially with individuals outside the organization

Featured benefits

  • Medical insurance
  • Vision insurance
  • Dental insurance
  • 401(k)
  • Paid paternity leave
  • Paid maternity leave


  • Portland, Maine, United States Alternative Wellness Services Full time $45,000 - $65,000 per year

    :Join Our Team as a Part-Time Behavioral Health Billing Specialist3 days per week | On-site in PortlandAre you an experienced medical biller with a strong understanding of behavioral health services and a passion for accuracy and client service? Alternative Wellness Services (AWS) is seeking a Part-Time Billing Specialist to join our growing team.In this...

  • Payroll Specialist

    1 week ago


    Portland, Maine, United States Portland Public Schools (Maine) Full time $60,000 - $90,000 per year

    JobID: 5301Position Type:CENTRAL ADMINISTRATIONDate Posted:10/15/2025Location:FinanceDate Available:ASAPClosing Date:Open until filledTITLE: Payroll Specialist - Central Office POSITION OVERVIEW: The Payroll Specialist will coordinate with other members of the Payroll team to perform the day-to-day tasks of processing payroll, manage employee records, and...


  • Portland, Maine, United States Penn State University Full time $35,000 - $55,000 per year

    APPLICATION INSTRUCTIONS:CURRENT PENN STATE EMPLOYEE (faculty, staff, technical service, or student), please login to Workday to complete the internal application process. Please do not apply here, apply internally through Workday. CURRENT PENN STATE STUDENT (not employed previously at the university) and seeking employment with Penn State, please login to...


  • South Portland, Maine, United States Maine Merchant Bank Full time

    Job OverviewThe employer is a small bank looking for a detail-oriented, positive, and accountable team member that is willing to stay and show loyalty. The majority of the team members are long time employees.This position requires understanding banking, trust officer roles, and trust operational concepts. The team member will report to the Trust Officer....


  • Portland, Maine, United States Trail Ridge Power - BerryDunn (client) Full time $75,000 - $100,000 per year

    BerryDunn is partnering with Nichols Portland, Inc. to identify a highly analytical, detail-driven Operations Finance Analyst who will play a key role in connecting finance and operations across two manufacturing sites. Reporting directly to the Plant Controller, this position provides financial insight and analytical support for inventory, costing, and...


  • South Portland, Maine, United States InterMed Full time $60,000 - $120,000 per year

    ESSENTIAL FUNCTIONSDirectly supervises non-clinical personnel (customer service, patient financial specialist, and payment posting specialist)continuously improving and conducting departmental new employee onboardingprioritizing workloads,addressing employee concerns,mentoring and counseling staff to include, 1:1 check ins, annual merit reviews and...


  • Portland, Maine, United States University of New England Career Full time $95,000 - $127,000 per year

    ResponsibilitiesThe primary responsibilities of the Associate Dean of Clinic Operations and Quality of Care ( ADCOQC ) include: Administrative Oversee operation of an efficient, patient-centered dental practice that supports the educational mission of the College of Dental Medicine. Ensure high quality care and patient satisfaction. Stay current with federal...


  • Portland, Maine Metropolitan Area, United States Martin's Point Health Care Full time $44,000 - $58,000 per year

    Job Title:Temporary Premium Billing Reconciliation Specialist IPay:$21.53/Hr. - $27.86/Hr.Hours:40 hours/weekStart Date:March 24thWe are seeking aTemporary Premium Billing Reconciliation Specialist Ifor atemporaryposition for our client, a healthcare organization located inPortland, ME. The Premium Billing Reconciliation Specialist will support the accuracy...

  • Billing Specialist

    2 weeks ago


    Portland, United States Jobs for Humanity Full time

    Company Description Jobs for Humanity is collaborating with YUPRO Placement to build an inclusive and just employment ecosystem. We support individuals coming from all walks of life. Company Name: YUPRO Placement Job DescriptionBilling Specialist This is a full-time, in-office position in Portland, OR. About this Position The Client Accounts Specialist is...

  • Billing Specialist

    2 weeks ago


    Portland, United States Jobs for Humanity Full time

    Billing SpecialistThis is a full-time, in-office position in Portland, OR.The Client Accounts Specialist is responsible for managing client accounts, overseeing billing and payments, maintaining financial records, and ensuring accuracy across all accounting functions. This role supports the full billing cycle, processes payroll and benefits, and provides...

  • Billing Specialist

    5 days ago


    Portland, United States Jobs for Humanity Full time

    Job DescriptionBilling SpecialistThis is a full-time, in-office position in Portland, OR. About this PositionThe Client Accounts Specialist is responsible for managing client accounts, overseeing billing and payments, maintaining financial records, and ensuring accuracy across all accounting functions. This role supports the full billing cycle, processes...


  • Portland, United States The Caputo Group Full time

    Inventory Reconciliation Specialist Portland, Oregon Salary: DOEABOUT US We're a locally owned, independent mom-and-pop cannabis shop dedicated to providing a welcoming, knowledgeable, and safe environment for our community. Our mission is to ensure every customer-whether medical or adult-use-receives personalized service, trusted information, and...

  • Billing Specialist

    3 weeks ago


    Portland, United States Linguava Full time

    Position: Billing Specialist Reports To: Accounting Manager Department: Accounting Location: Portland, Oregon (Hybrid) Employment Type: Full-Time / Non-Exempt Company Overview Linguava Interpreters, Inc. is a premier language services provider dedicated to ensuring language access in healthcare and beyond. Our mission is to be the go-to company that...

  • Billing Specialist

    2 weeks ago


    Portland, United States Linguava Full time

    Company Overview Linguava Interpreters, Inc. is a premier language services provider dedicated to ensuring language access in healthcare and beyond. Our mission is to be the go‑to company that employees take pride in, linguists are excited to be partnered with, and the healthcare community trusts as the premier choice for exceptional language services....

  • Billing Specialist

    2 weeks ago


    Portland, United States Linguava Full time

    Position: Billing Specialist Reports To: Accounting Manager Department: Accounting Location: Portland, Oregon (Hybrid) Employment Type: Full-Time / Non-Exempt Company Overview Linguava Interpreters, Inc. is a premier language services provider dedicated to ensuring language access in healthcare and beyond. Our mission is to be the go-to company that...

  • Billing Specialist

    2 weeks ago


    Portland, United States Linguava Full time

    Position: Billing SpecialistReports To: Accounting ManagerDepartment: AccountingLocation: Portland, Oregon (Hybrid)EmploymentType: Full-Time / Non-Exempt Company Overview Linguava Interpreters, Inc. is a premier language services provider dedicated to ensuring language access in healthcare and beyond. Our mission is to be the go‑to company that employees...

  • Billing Specialist

    3 weeks ago


    Portland, United States Ballard Spahr LLP Full time

    Department: Accounting and Financial Management About Us Ballard Spahr is a renowned national law firm with more than 750 lawyers across 18 offices in the United States. A career at Ballard Spahr offers a diverse group of mentors, colleagues, and friends, and strong leadership that provides support and encouragement for career growth. The Billing Specialist...