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)
BILLING SPECIALIST
Position Description:
We are looking for a Billing Specialist/Cash Poster to join our Team!
The Billing Specialist/Cash Poster is responsible for all aspects of medical billing within our Agency. Duties include, but are not limited to: speaking with insurance companies, obtaining prior authorizations, daily entry of data, and determining insurance eligibilities. The Billing Specialist will also check eligibilities on patients, communicate directly with patients regarding billing, obtain authorizations and update and maintain patient insurance in the current software. Additional responsibilities will include:
a. Post payments from insurance and clients
b. Management of the denials/rejections
c. Reading and understanding 835 files
d. Generate 1500 form claims via paper or electronically
e. Navigate insurance websites/maintain user status
f. General billing duties related to the scope of the position, but not mentioned specifically above.
Education, Experience, Skills, Training:
High School Diploma or equivalent.
The successful applicant must have excellent communication skills, computer skills, and knowledge of Medicare, Medicaid, Commercial and Third-Party Insurers. Applicant must have efficient knowledge of eligibility verification and claims processing. At least one year of billing experience preferred. Must be able to obtain Act 33, Act 34 and FBI clearances.
This is a full-time position with medical, dental and vision benefits, as well as, 401(k) Retirement Plan with matching company contributions, paid vacation and paid holidays.
Nulton Diagnostic and Treatment Center is committed to a policy of Equal Employment Opportunity. All qualified applicants will be considered for employment without regard to race, color, religious creed, disability, ancestry, national/ethnic origin (including limited English proficiency), age, sex (including discrimination on the basis of pregnancy or related conditions, including “pregnancy termination.”), sexual preference, cultural beliefs, arts, laws, customs, capabilities, gender identity, sex related to marital, family, or parental status, and habits or economic status and must observe all applicable State and Federal laws and regulations.
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