Fortegra
Claims Billing Specialist
The Claims Billing Specialist plays a critical role in ensuring accurate and timely billing for our third-party administrator (TPA) partners. This is a full-time, in-office position based in Jacksonville, FL, responsible for managing the full invoice lifecycle including invoice generation, payment reconciliation, collections, follow-up, and reporting. As the volume and complexity of our TPA relationships continue to grow, this role will help define and maintain a scalable, audit-ready billing process in partnership with Finance, Claims, and Account Management. Minimum Qualifications: High School Diploma or equivalency required. At least 2 years of experience in invoicing, billing, collections, or financial operations ideally in a claims, insurance, or service contract environment. Primary Job Functions: Generate and send monthly invoices to TPA partners based on claims activity, contract terms, and fee structures Ensure billing accuracy by cross-referencing claims data, fee schedules, and approvals Reconcile payments against invoiced amounts and investigate variances or short payments Proactively follow up with TPAs on past-due invoices and escalate unresolved items to Finance or Account Management Track invoice status, aging reports, and collection activities Maintain clear, up-to-date records of all invoicing, payment, and reconciliation activities Develop and deliver regular reporting on invoice status, collections, and billing trends Identify gaps or inefficiencies in the billing process and recommend solutions Support internal and external audit requests with organized, accurate documentation Conduct periodic QA of invoices and reconciliation files to ensure consistency and compliance Assist in onboarding new TPAs into the billing process and help maintain up-to-date SOPs Participate in any projects, reports, documentation, tasks or objectives assigned The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Skills & Competencies Required: Proficient in Excel (pivot tables, VLOOKUP, filters, formulas) Strong analytical skills with attention to detail Experience in reconciliation, AR follow-up, or working with aging reports Excellent written and verbal communication skills, particularly for collections outreach Experience with high-volume, manual billing processes preferred Organized and detail-oriented with strong follow-through Results-driven, especially when handling collections and aging accounts Comfortable managing multiple priorities and deadlines Eager to own and improve processes Self-sufficient but highly collaborative Comfortable working in a growing environment where processes are still being built Additional Information: Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
The Claims Billing Specialist plays a critical role in ensuring accurate and timely billing for our third-party administrator (TPA) partners. This is a full-time, in-office position based in Jacksonville, FL, responsible for managing the full invoice lifecycle including invoice generation, payment reconciliation, collections, follow-up, and reporting. As the volume and complexity of our TPA relationships continue to grow, this role will help define and maintain a scalable, audit-ready billing process in partnership with Finance, Claims, and Account Management. Minimum Qualifications: High School Diploma or equivalency required. At least 2 years of experience in invoicing, billing, collections, or financial operations ideally in a claims, insurance, or service contract environment. Primary Job Functions: Generate and send monthly invoices to TPA partners based on claims activity, contract terms, and fee structures Ensure billing accuracy by cross-referencing claims data, fee schedules, and approvals Reconcile payments against invoiced amounts and investigate variances or short payments Proactively follow up with TPAs on past-due invoices and escalate unresolved items to Finance or Account Management Track invoice status, aging reports, and collection activities Maintain clear, up-to-date records of all invoicing, payment, and reconciliation activities Develop and deliver regular reporting on invoice status, collections, and billing trends Identify gaps or inefficiencies in the billing process and recommend solutions Support internal and external audit requests with organized, accurate documentation Conduct periodic QA of invoices and reconciliation files to ensure consistency and compliance Assist in onboarding new TPAs into the billing process and help maintain up-to-date SOPs Participate in any projects, reports, documentation, tasks or objectives assigned The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Skills & Competencies Required: Proficient in Excel (pivot tables, VLOOKUP, filters, formulas) Strong analytical skills with attention to detail Experience in reconciliation, AR follow-up, or working with aging reports Excellent written and verbal communication skills, particularly for collections outreach Experience with high-volume, manual billing processes preferred Organized and detail-oriented with strong follow-through Results-driven, especially when handling collections and aging accounts Comfortable managing multiple priorities and deadlines Eager to own and improve processes Self-sufficient but highly collaborative Comfortable working in a growing environment where processes are still being built Additional Information: Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.