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)
Job Purpose
The Billing Director provides oversight to inpatient LTAC and outpatient billing teams for services. This position also supports the Retail Pharmacy accounting function along with any additional duties assigned by the Business Office Director or CFO. |
Essential Duties and Responsibilities
Duty |
Percent of Time |
Oversees inpatient LTAC and outpatient billing. Ensuring timing payments of claims are made and correctly applied to accounts. |
30% |
Prepare end of month inpatient and outpatient activity. |
15% |
Responsible for Retail Pharmacy accounting and support. |
15% |
Enter outpatient Accounts Receivable into the General Ledger and reconciles accounts to the General Ledger. |
10% |
Prepares and monitors weekly census information and bills Medicaid. |
10% |
Monitors inpatient data and claims. |
10% |
Tracks and reconciles Recipient Trust activity. |
5% |
Other duties as assigned. |
5% |
Supervisory Responsibility
Supervises the Billing Department as questions or circumstances arise. Including answering questions from staff, ensuring timely deliverables at month end and being the Billing Department liaison to the Hospital as reports and questions come up. Direct reports include Outpatient Billing Specialists and Claim Resolution Specialist. |
Qualifications
Education: |
Bachelor’s Degree in Accounting, Business or Finance |
Experience: |
5 years of experience in billing and claims resolution 2 years of experience in accounting or in a business office 1 years of experience in leadership Meditech software knowledge preferred |
License/Certification/Credential: |
N/A |
Our work begins where we are all equal - at the heart.
Bethany Children’s Health Center is an innovative leader in the field of pediatric rehabilitation and 24-hour complex care. The hospital offers inpatient and outpatient services for children (ages 0-21) and is the only inpatient pediatric rehabilitation facility in Oklahoma. Our CARF accredited multidisciplinary team works with patients and their families to maximize the patient’s physical and cognitive potential, and ensure the family has the training and resources needed for a smooth transition from hospital to home. In 2021, the hospital received accreditation from The Healthcare Facilities Accreditation Program (HFAP), the nation’s original independent accreditation program recognized by the Centers for Medicare and Medicaid Services (CMS). This distinction confirms that Bethany Children’s Health Center is providing high quality patient care as determined by an external process of evaluation.
In order to maximize the potential of every child, we must maximize the potential of every employee. We are committed to providing staff with the physical, emotional, spiritual, financial and mental resources necessary to achieve their potential and meet our standards of excellence. BCHC offers competitive compensation, benefits, state-of-the-art equipment and wellness programs. Opportunities for professional growth include in-service training, leadership development, tuition reimbursement and scholarships.
**Due to the nature of our pediatric services, this organization’s positions are classified as safety-sensitive roles. Bethany Children’s Health Center may refuse to hire an applicant or discharge an employee in a safety-sensitive position, who tests positive for marijuana even if the applicant or employee holds a valid Oklahoma medical marijuana license.