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)
Position Goal
Maintain an up-to-date knowledge of payor policies and procedures and oversee the timely and accurate enrollment of new providers, new locations for existing providers, and Hughston facilities with appropriate payors by the Payer Enrollment Team. Collaborate with internal stakeholders, such as the billing and credentialing departments, to ensure a seamless transition from application to reimbursement.
Position Responsibilities:
Experience:
Required:
Three years of direct payor enrollment experience and 1 year management experience.
Education:
Required:
Preferred:
Provider Enrollment Specialist Certification (PESC).
Special Qualifications:
Required:
Must be able to prioritize tasks and use good professional judgment in assigned dutiesThe Hughston Clinic, The Hughston Foundation, The Hughston Surgical Center, Hughston Clinic Orthopaedics, Hughston Medical, Hughston Orthopaedics Trauma, Hughston Orthopaedics Southeast and Jack Hughston Memorial Hospital participate in E-Verify. This company is an equal opportunity employer that recruits and hires qualified candidates without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.
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