UST HealthProof · 2 months ago
Healthcare Member Premium Billing Team Lead
United States
Full-time
Remote
Mid, Senior Level
$49K/yr - $57K/yr
3+ years expUST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. They are seeking a highly energetic and collaborative Billing Team Lead to oversee all aspects of Member Premium Billing operations, ensuring accurate processing, analysis, and reporting of member premium bill information.
Hospital & Health Care
Responsibilities
Provides oversight and direction to production teams to ensure Member Premium Billing activities are completed accurately and on time
Works closely with production teams to ensure timely and accurate processing of premium billing activities
Identifies process issues as they arise and initiates requests for technical analysis and remediation through JIRA
Supports and participates in system testing, requirements gathering, and operational readiness updates driven by system enhancements and CMS software releases
Responds to inquiries from clients in a timely and professional manner
Oversees and reconciles premium payment methods (e.g., SSA, ACH, etc.)
Prepares, reviews, and analyzes premium payment information for accuracy and completeness
Produces month-end billing reports and supports reconciliations, member refund processing, and delinquency/disenrollment activities as required
Assists with preparing regulatory reports and statements for management and external parties (e.g., auditors, customers, CMS)
Participates in internal and external audits as required
Attends daily, weekly, and monthly billing-related meetings to stay aligned with operational priorities
Drafts policies and develops desk-level procedures to ensure clarity in departmental practices and strong internal controls
Interfaces effectively with internal departments, leadership, and external stakeholders
Responds to ad hoc requests and performs additional duties as assigned by management
Qualification
Required
Bachelor's degree or higher in any field, or an equivalent combination of education, training, and relevant professional experience that demonstrates the ability to perform the role effectively
Minimum 3 years of experience in a related field; premium billing in Healthcare insurance payor sector preferred
Strong analytical, organizational, and problem-solving skills
Proven ability to communicate effectively—both verbally and in writing
Knowledge of Medicare Advantage processes and CMS guidelines
Proficiency in standard business applications (e.g., Excel, Word)
General knowledge of Generally Accepted Accounting Principles (GAAP)
Ability to manage multiple priorities and work independently or within a team environment
Strong interpersonal skills with the ability to engage effectively with internal and external stakeholders
Ability to work under general supervision while meeting strict deadlines
Excellent written and verbal communication skills to present financial information clearly to both technical and non-technical audiences
Strong analytical and problem-solving skills with the ability to identify, analyze, and resolve complex business issues
Preferred
Bachelor's Degree in Accounting, Finance or related field preferred
Prior leadership or team lead experience strongly preferred
Company
UST HealthProof
UST HealthProof offers risk adjustment, quality programs, and healthcare payer technology services. It is a sub-organization of UST.
501-1000 employees
H1B Sponsorship
UST HealthProof has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (43)
2023 (31)
2022 (3)
Funding
Current Stage
Late StageTotal Funding
unknown2025-09-04Acquired
Leadership Team
Kevin Adams
Chief Executive Officer
Beth Maxwell
VP Product Delivery and Partnerships
Recent News
2025-12-06
Precedence Research
2025-11-21
2025-11-07
Company data provided by crunchbase