Enrollment & Billing Manager manages staff responsible for enrollment and billing operations for an insurance company. Ensures that information is processed accurately and appropriately. Being an Enrollment & Billing Manager trains staff on organizational policies and ensures policies are followed at all times. Provides guidance to junior staff on more complex enrollment or billing issues. Additionally, Enrollment & Billing Manager typically requires a bachelor's degree. Typically reports to the head of a unit/department. The Enrollment & Billing Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be an Enrollment & Billing Manager typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Provides leadership to the Central
Business Office (CBO) and Client staff in one or more areas of the CBO
Department. Responsible for hiring and supervision of the office/department
staff and the daily operations of the CBO. Responsible for personnel management,
orientation and training, and ongoing education for staff, and monitor staffing
variances to benchmarks. Ensures compliance to governmental, departmental, and
other regulatory requirements, policies, and procedures. Participates in
departmental planning, budgetary compliance, development of policies and
procedures, and adherence to quality indicators. Responsible for maintaining
information management systems utilized by the CBO Department. Conducts process
improvement activities to improve CBO operations in the goal of achieving
different Accounts Receivable (AR) targets at each CBO client. Leads new CBO
client implementation activities.
Essential Job Functions
Performs Analysis of Client
revenue cycle operations to make recommendations to Clients on coding, revenue
capture, reimbursement, and operational optimizations.
Resolve issues utilizing good
customer service skills while understanding the financial and customer service
impact to CBO Clients.
Possess a thorough understanding
of CBO Client charges, billing structures and the rationale behind them so
appropriate answers can be given to the customer, public, and third parties.
Directs and coordinates the day-to-day
activities for the CBO staff, establishing priorities and assigning workloads.
Manages assigned personnel
including interviewing, hiring, directs orientation and training of new staff
and current staff, performance appraisal, promotion, counseling, and
disciplinary action.
Conducts regular/scheduled CBO
staff meetings and provides on-going education to staff due to staffing needs,
regulation changes, upgrades to applications and organizational goals.
Collaborates with Systems
Analysts in the planning and design of business solutions and resources needed
to meet business goals, implementation, and management of system
configurations.
Maintains applications or
information management systems utilized by the department, continually updating
files, updating, and training staff. Coordinates with Information Services in
the design, update, scheduling, and problem resolution of information systems
used by the department.
Provides input in analyzing
needs of the department, participates in budgetary process and maintaining
budgetary compliance.
Prepares and analyzes reports on
the status and efficiency of the department utilizing various reporting tools
including report writers and query. Takes corrective actions based on outcome
of reports. Reports and analysis may be needed for senior management decision
processes.
Participates in the development
and maintenance of departmental policies and procedures and process improvement
issues.
Coordinates with outside
agencies for collection of outstanding accounts including any accounts
requiring legal action and testifying in court.
Utilizes performance improvement
principles to thoroughly assess and improve quality.
Prepares monthly client
Scorecards and works with System Analyst(s) to address issues identified.
Prepares and/or presents results
from monthly reports to CBO clients. Required attendance at client board
meetings as needed and/or requested.
Identifies needs and sets goals
for own growth and development.
Supports and models behaviors
consistent with Billings Clinics mission, vision, values, code of business
conduct and service expectations. Meets all mandatory organizational and
departmental requirements. Maintains competency in all organizational, departmental,
and outside agency standards as it relates to the environment, employee,
patient safety or job performance.
Performs all other duties as
assigned or as needed to meet the needs of the department/organization.
Minimum Qualifications
Education
Two (2) year Associate Degree in Business
Management, Finance, or related field
Four (4) year Bachelors Degree in
Business Management, Finance or related field
Experience
Two (2) years of successful
experience leading and directing staff
Two (2) years of successful
experience working closely with accounts and account management
Three (3) years of Billings Clinic
patient accounts or health care related experience - preferred
Two (2) years of successful
experience applying techniques and skills as a manager and/or leader -
preferred
Certifications and Licenses
Montana Drivers License (or
ability to obtain within 6 months of hire) with ability to be insured for
operation of business vehicles
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