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)
Are you ready to join an organization where delivering high quality patient-centered care, compassion, teamwork, and integrity are the basis for how we work? At Arnot Health, we are focused on delivering high-quality, safe, cost-effective, socially responsible health care services.
MAIN FUNCTION:
To enter both charges and payments for individual accounts and to process claims for Medicare, Medicaid and the third party carriers. To perform collection duties as assigned.
DUTIES AND RESPONSIBILITIES:
1. Inputs batched charges with complete information in compliance with and exhibiting knowledge of carrier requirements.
2. Assists in charge review process, demonstrating reimbursement experience including HCFA rules and regulations.
3. Verifies the appropriate use of modifiers, dependent on carrier requirements.
4. Processes billing to carrier in compliance with regulations.
5. Processes payments from both carriers and patients. Payments will come in batched format from offices.
6. Researches credit balances and prepares refund requests where appropriate.
7. Processes patient billing statements.
8. Answers both patient and carrier correspondence in a timely fashion
9. Reviews aged trial balance with charges 60 days old and reworks as required to ensure payment.
10. Initiates and completes carrier reviews.
11. Receives phone calls from both patient and carriers which are to be handled in a professional and helpful manner.
12. Interviews patients who may visit the office for a better explanation, and this will be handled courteously, professionally and confidentially.
13. Performs collection activities as assigned.
EDUCATION:
High school diploma or equivalent required
EXPERIENCE:
Reimbursement experience with Medicare B, Medicaid and other third-party payers preferred.
PHYSICAL DEMANDS:
Light physical effort, typical office job.
Job Type: Full-time
Pay: $15.27 - $18.03 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Ability to Commute:
Work Location: In person
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