Enrollment & Billing Director oversees one or more departments responsible for enrollment and billing operations for an insurance company. Ensures information accuracy and customer satisfaction. Being an Enrollment & Billing Director establishes and implements organizational policies. May offer guidance on appropriate handling of complex or high-value accounts. Additionally, Enrollment & Billing Director typically requires a bachelor's degree. Typically reports to top management. The Enrollment & Billing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be an Enrollment & Billing Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
Description
Submits claims and billings electronically using patient portals. Process EOBs. Maintains constant communication with MCO’s to ensure timely filing. Advocate with MCO’s for insurance rate reimbursement. Track client payments and insurance claim forms.
Requirements
Full-time, non-exempt position
Starting pay: $16.50 per hour
Management reserves the right to add, modify, change, or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job.
• Applies all payments to clients’ accounts. Bills all invoices to contracted agencies
• Maintains medical records.Runs weekly reports and makes corrections to bill out clean claims.
• Maintains a spreadsheet of unpaid claims.
• Communicates with the Billing Director and Executive Director in the absence of the Billing Director.
• Assists support staff and direct service providers and notes when corrections need to be done.
• Utilizes knowledge of contract rates and service codes.
• Use spreadsheets to track reimbursements, reimbursement rates and needed to follow-up
• Coordinate with staff to ensure correct billing codes are used.
• Input billing codes into the electronic health system
• Communicate with Accounting Director to cross-reference financial reports
• Maintain HIPPA and client confidentiality at all times
• Regular and consistent attendance for the assigned work schedule is essential.
A high school diploma or GED is required. Certificate or degree in billing and coding preferred.
Six months or more of billing experience is required.
Benefits:
· Health Insurance
· Free Dental Insurance
· Free Vision Insurance
· 401(K) with employer matching (4%)
· Life Insurance up to $15,000
· Long Term Disability
· Paid Time Off (PTO)
· Holidays (8-11)
·License Reimbursement
· Employee Assistance Program
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