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Full-time
professional certificate
Health coverage, Dental insurance, Health spending accounts, Dependent care spending accounts, Short-term disability, Long-term disability
Posted 66d ago
~40 hrs/week
Responsibilities
The Lead Premium Billing Analyst manages the end-to-end billing process across multiple business lines, ensuring accurate payment posting and invoice generation. Key duties include reconciling accounts receivable, resolving complex discrepancies, and mentoring other billing analysts.
Requirements
Candidates need a 1-year certificate, 2 years of related experience, or an equivalent combination, with a preference for 2 years of direct experience. Proficiency in Microsoft Excel (complex formulas, VLOOKUPs) and strong analytical skills are required.
Full job description
Step into a pivotal financial role with Capital Health Plan as the full-time Lead Premium Billing Analyst in Tallahassee, FL. This is your opportunity to become the go-to expert for premium billing operations in a company dedicated to accuracy, compliance, and service excellence. Join a financial team that values your analytical skills and commitment to integrity.
Enjoy competitive pay while making a real impact across group, individual, Medicare Advantage, and Medicaid business lines.
We're also proud to offer generous benefits. This includes:
Health coverage and dental insurance
Health and dependent care spending accounts
Short and long-term disability
Major disability time off (MDTO)
Retirement plan
Life and AD&D insurance
Voluntary life and AD&D insurance
Paid time off (PTO)
Employee assistance program
SmartDollar
THE TYPE OF LEAD PREMIUM BILLING ANALYST WE'RE LOOKING FOR
1-year certificate from a college or technical school OR 2 years of related experience and/or training OR an equivalent combination of education and experience (2 years of direct experience preferred)
Strong analytical and communication skills with keen attention to detail
Ability to read, interpret, and compose clear correspondence
Effective presentation skills in 1-on-1 and small group settings
Sound judgment in a variety of situations
Solid mathematical aptitude, including working with whole numbers, fractions, decimals, rates, ratios, and percentages
Proficient in Microsoft Word and Excel (including pivot tables, VLOOKUPs, and complex formulas)
Familiarity with billing or financial systems and standard office equipment
Commitment to accuracy, professionalism, and building positive relationships with customers and colleagues
WHAT IT'S LIKE TO BE OUR LEAD PREMIUM BILLING ANALYST
You will work full-time in our Premium Billing Department. You'll collaborate during standard business hours, with occasional need to adapt to department priorities and deadlines.
As a Lead Premium Billing Analyst, you will own the end-to-end billing process for multiple lines of business, ensuring that every payment is posted accurately, invoices are generated on time, and statements are balanced with precision and compliance. You will reconcile accounts receivable, resolve complex discrepancies, and manage ACH applications, payment authorizations, refunds, and premium reallocations. Your day will include reviewing aging reports, coordinating collections and write-offs, and responding to inquiries from members, groups, and internal teams. You'll ensure compliance with all relevant regulations as you maintain demographics, coverage levels, and premium rates tables. Mentoring Billing Analysts, collaborating with cross-functional teams, and serving as the department's subject matter expert will be central to your role. You'll help drive process improvements, support system migrations, and act as a backup for key specialists as needed.
ABOUT US
We are a not-for-profit health care organization that has served the panhandle since 1982, delivering high-quality, affordable, and patient-centered care. Our employees are essential to our continued success, and their passion, motivation, and commitment drive our reputation for excellence and member satisfaction. Whether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities. We are dedicated to fostering a professional, respectful, and inclusive workplace where employees are valued, supported in their growth, and empowered to make a meaningful impact. Join us!
Apply now using our mobile-friendly application and become an essential part of our mission to deliver outstanding financial services and operational excellence!
Must have the ability to pass a background check and drug screening test.
In 1982, a group of Tallahassee’s civic leaders came together to create a quality, affordable health care system to meet the health needs of the community. More than thirty-five years later, Capital Health Plan has become a national health care leader. We started with 5,000 members and a network of 75 doctors. We’ve now grown to more than 135,000 members with a broad network of more doctors, hospitals and other health care providers throughout our service area.
Offices: 1264 Metropolitan Blvd, Tallahassee, Florida 32308, US · 2140 Centerville Rd, Tallahassee, Florida 32308, US · 1491 Governors Square Blvd, Tallahassee, Florida 32301, US
How many Management & Leadership jobs are open in Tallahassee, FL right now?
There are currently 757 open management & leadership positions in Tallahassee, FL listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Management & Leadership roles in Tallahassee, FL?
Companies currently hiring include Florida Department of Agriculture and Consumer Services, Aramark Healthcare+, Tallahassee Memorial HealthCare, The Wendy's Company, L3Harris Technologies, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Management & Leadership jobs in Tallahassee, FL?
Yes — 116 of the 757 open management & leadership positions offer remote or hybrid work (66 remote, 50 hybrid).
How do I apply for Management & Leadership jobs in Tallahassee, FL?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.