Enrollment & Billing Representative jobs in Manchester, NH

Enrollment & Billing Representative is responsible for the accurate enrollment and billing process for an insurance organization. Maintains related documents, updates corresponding records and responsible for enrollment and billing query. Being an Enrollment & Billing Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. The Enrollment & Billing Representative possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Patient Accounts Representative - Billing
  • Catholic Medical Center
  • Manchester, NH FULL_TIME
  • Responsibilities include accurate billing of hospital and/or professional accounts, ensuring timely claim submission, and reimbursement from various third-party payers, ensuring proper account documentation, charging and refund activities in the hospital’s electronic billing system and pursuing follow-up efforts on open accounts.

    PRINCIPAL DUTIES AND RESPONSIBILITIES:

    Under the general direction of the Director, Accounts Receivable, the direct supervision of the Team Leader/Supervisor, Manager and within established departmental policies and procedures, the incumbent performs the following functions:

    1. Works daily electronic billing work queues and paper claims submission by resolving payer edits and mailing/releasing claims to the clearing house or third party payers.

    2. Documents billing activity on the account; ensures compliance with all applicable billing regulations for assigned payers and reports any suspected/questionable compliance/billing concerns to the attention of department leaders.

    3. Reviews and corrects all claim denials that are communicated via Explanation of Benefits (EOB), denial reports, denial management system or correspondence from the insurance carrier or others to determine what follow-up action is necessary including initiating the adjustment or appeals process if needed.

    4. Reviews and processes all required daily reporting activities including late charges, diagnosis changes, charge corrections and initiates corrected bills to the payer as needed.

    5. Determines proper disposition of credit balances and take backs (from payers) on accounts and initiates refunds, adjustments or corrected claims.

    6. Monitors claim rejections for trends and issues, reports these findings to the team lead/manager to reduce future claim rejections.

    7. Performs follow-up on unresolved open accounts and documents all reasons for reimbursement delays as well as actions taken within the electronic billing system.

    8. Monitors workload for aging inventories and timely filing.

    9. Practices excellent customer service skills by answering patient, internal associates and third-party questions and/or addressing billing concerns in a timely, professional and efficient manner.

    10. Use payer websites, portals, claims processing system to verify eligibility, review claim status, initiate adjustments, submit appeals etc.

    11. Purges hardcopy files as needed.

    12. Participate in general or special assignments and attend all required team meetings and required training.

    13. Participates in appropriate role in disaster and fire drills, fires and other emergency situations.

    14. Maintains confidentiality of all employee, legal, patient and company matters.

    15. Performs similar or related duties as assigned or requested.


    WORK SCHEDULE: (Hybrid - after successfully completing probation period of 90 days)

    • Generally Monday through Friday, days.
    • Ability to adjust schedule to meet the needs of the organization.

    Qualifications


    Education:

    • High school diploma or equivalent required.
    • Associate degree preferred

    Experience:

    • Minimum 1-2 year’s medical billing experience in a health care setting preferred.
    • Knowledge of basic patient accounting processes and healthcare terminology strongly preferred

    Primary Location: US-NH-Manchester
    Job: Finance
    Schedule: Full-time
    Shift: Day
    Employee Status: Regular
    Job Type: Standard
    Job Level: Non Manager
  • 23 Days Ago

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Billing Specialist
  • Corflex Global
  • Manchester, NH FULL_TIME
  • Orthocare Medical Equipment (a Division of Corflex Global) is seeking a: BILLING SPECIALIST ***$500 Sign on bonus after 60 days of employment*** Benefits offered: Medical, Dental & Vision Insurance, 4...
  • 3 Days Ago

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Billing & Accounting Specialist
  • Robert Half
  • Los Angeles, CA PER_DIEM
  • Candidates with billing and full-cycle accounting experience will be interested in Robert Half's full-time opportunity with an innovative education institution. To flourish in this role, candidates wi...
  • Just Posted

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Utility Billing Supervisor - Water Works
  • City of Manchester, NH
  • Manchester, NH FULL_TIME
  • Grade 20 General Statement of Duties Supervises the billing operations of the City Water Works Department; performs directly related work as required. Examples of Essential Work Processes and prepares...
  • 1 Month Ago

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Administrative Assistant/Medical Billing (Raymond, NH)
  • Raymond Ambulance, Incorporated
  • Raymond, NH PART_TIME
  • Administrative Assistant/Medical Biller for Raymond Ambulance, Inc. Part time, flexible hours. Clerical/medical billing experience preferred. Please forward resume to: raymondambulance@comcast.net. Jo...
  • 7 Days Ago

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Admissions Representative
  • Empire Beauty Schools NH
  • Hooksett, NH FULL_TIME
  • Empire Beauty School's rich history in the Beauty Industry for over the last five decades, has been the leader in turning out students in the New Hampshire and New England area salons, spas and barber...
  • 23 Days Ago

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0 Enrollment & Billing Representative jobs found in Manchester, NH area

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Visiting Nurses Association - Respiratory Therapist - Homecare - Per Diem (NEW SIGN-ON BONUS!)
  • Elliot Health
  • Manchester, NH
  • Come work at the best place to give and receive care! Job Description: This is a per diem role. There is a $5,000 sign o...
  • 3/28/2024 12:00:00 AM

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Director, New England Heart & Vascular Institute, Advance Practice Providers
  • Catholic Medical Center
  • Manchester, NH
  • POSITION SUMMARY: Acts as clinical management resource to the Executive Director of Operations and Medical Director of t...
  • 3/28/2024 12:00:00 AM

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MotorClothes/Merchandise Associate
  • Manchester Harley-Davidson
  • Manchester, NH
  • Job Title: MotorClothes/General Merchandise Associate Department: MotorClothes/Merchandise Supervisor: MotorClothes/Merc...
  • 3/28/2024 12:00:00 AM

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Residential Lawn Specialist - Earn $13-$22/Hour + Benefits
  • TruGreen - Lawn Specialist
  • Manchester, NH
  • TruGreen is Now Hiring Lawn Specialists*! Earn Up to $22.00 per Hour - Comprehensive Benefits (*All positions require a ...
  • 3/28/2024 12:00:00 AM

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Lawn Specialist - Earn $13-$22/Hour + Benefits
  • TruGreen - Lawn Specialist
  • Manchester, NH
  • TruGreen is Now Hiring Lawn Specialists! Earn Up to $22.00 per Hour - Comprehensive Benefits At TruGreen, we are committ...
  • 3/28/2024 12:00:00 AM

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Billing Representative (Full-Time Remote)
  • BAE Systems
  • Nashua, NH
  • **Job Description** BAE Systems has an opening for a full-time Billings Representative within the ES US Defense Company ...
  • 3/27/2024 12:00:00 AM

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Inventory Specialist
  • WALGREENS
  • Manchester, NH
  • Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the e...
  • 3/27/2024 12:00:00 AM

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Patient Accounts Billing Representative (Remote)
  • Greater Lawrence Family Health Center
  • Methuen, MA
  • Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit...
  • 3/25/2024 12:00:00 AM

Manchester is a city in the southern part of the U.S. state of New Hampshire. It is the most populous city in northern New England, an area comprising the states of Maine, New Hampshire, and Vermont. As of the 2010 census the city had a population of 109,565, up slightly to 111,196 in a 2017 estimate. The combined Manchester-Nashua Metropolitan Area had a 2010 population of 400,721. Manchester is, along with Nashua, one of two seats of Hillsborough County, the state's most populous. Manchester lies near the northern end of the Northeast megalopolis and straddles the banks of the Merrimack Rive...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Enrollment & Billing Representative jobs
$34,915 to $44,376
Manchester, New Hampshire area prices
were up 1.4% from a year ago

Enrollment & Billing Representative in Boca Raton, FL
Showing up in person often demonstrates determination and initiative that most employers will find alluring in a potential representative.
February 13, 2020