Department: Premium Accounting
Status: Full-Time, Non-Exempt
Location: Sacramento, CA / Hybrid 
Travel: None

Western Health Advantage is seeking a detail-oriented and customer-focused Accounts Receivable Specialist I to join our Premium Accounting team. In this role, you will help ensure the accuracy and integrity of our accounts receivable processes while delivering exceptional service to members, brokers, and employer groups.

This position plays an important role in supporting our financial operations by maintaining accurate account balances, processing payments, resolving billing inquiries, and educating stakeholders on available billing tools and plan changes that impact their accounts. This is a high-volume, phone-based role, related to premium billing questions, payment inquiries, and account research.

If you enjoy working with numbers, solving problems, and providing excellent customer service in a collaborative healthcare environment—particularly in a fast-paced call environment—we encourage you to apply.

What You’ll Do:

• Maintain accurate and current accounts receivable balances to support the financial integrity of the organization.
• Handle a high volume of incoming calls related to premium billing questions, payment inquiries, account discrepancies, and general billing support.
• Research and resolve billing discrepancies and account inquiries in a timely and professional manner while providing clear, accurate information over the phone.
• Process incoming payments including checks, credit cards, and e-check transactions.
• Educate members, brokers, and employer groups on billing processes, payment options, plan changes, and available self-service tools.
• Stay current on updates to billing procedures, payment options, and company or plan changes that impact accounts.
• Utilize Facets Application Software to research accounts, post payments, correct errors, and update records while actively assisting callers.
• Log and post incoming checks in Facets and forward payments to the lockbox.
• Review and manually correct daily lockbox posting errors.
• Review lockbox receipts for correspondence and route appropriately.
• Process paperless billing updates, EFT forms, and APTC Subgroup Change Reports.
• Create and maintain billing and reconciliation reports as needed.
• Process returned mail and update account records accordingly.
• Support the Premium Accounting Supervisor with administrative tasks, special projects, and process improvements.

• High School Diploma or equivalent.
• One (1) year of experience in accounts receivable, billing, accounts payable, banking, or a related financial field, including basic reconciliation and customer service.
• Experience working in a high-volume call environment or a role requiring frequent inbound phone support.
• Ability to professionally manage a high call volume while accurately researching accounts and documenting interactions.
• Strong 10-key data entry skills with speed and accuracy.
• Intermediate computer proficiency, including email, databases, Microsoft Word, and Excel (including formulas and basic reporting).
• Strong attention to detail, organizational skills, and the ability to manage multiple tasks effectively in a fast-paced, phone-driven environment.
• Clear and professional written and verbal communication skills, with the ability to explain billing concepts in a clear and customer-friendly manner.

Preferred Qualifications:

• Experience working with Facets Application Software.
• Previous experience in the healthcare industry, preferably within an HMO environment.

Why Join Western Health Advantage?

At Western Health Advantage, we are committed to improving the health and well-being of the communities we serve. Our team members are valued contributors who support our mission through collaboration, integrity, and service excellence.

Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law.

Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you — and excellent customer service for our members.