Enrollment & Billing Director jobs in Reno, NV

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)

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Director of Professional Billing Services
  • Renown Health
  • Reno, NV FULL_TIME
  • Position Purpose

    The Director of Professional Billing Services is responsible for the overall financial viability ensuring that Renown Health Services is appropriately reimbursed for all services provided within regulatory and contractual guidelines. This position directs leaders in the Revenue Cycle and will champion development of lean processes to ensure we have the best in class, patient focused revenue cycle operations with a metric driven, performance-based culture of accountability at all levels.

     

     

     

    Nature and Scope

    This position will provide coordination and subject matter expertise across all components of the revenue cycle for Health Services to ensure streamlined, cost-effective, patient-centric operations at the medical groups and affiliated entities. This position will make recommendations for improvement and initiatives to develop and implement new programs, system efficiencies and optimizations to improve services and operations. This position will track and benchmark Revenue Cycle metrics for Health Services against actual results while coordinating standard usage of all system reporting. Develop and make recommendations in the creation of capital and operating budgets. Present a business case to Vice President of Revenue Cycle regarding programs, projects or procedures that may reduce risk, improve efficiency, increase cash collections, reduce accounts receivable, motivate staff or in general benefit of the Professional Billing Department and all of Revenue Cycle. In addition, will have direct responsibility to plan, organize and implement process and business improvements on designated strategic initiatives.

    Additional responsibilities include:

    Expert knowledge of coding and billing guidelines and policies to provide education, development, and monitoring.

    Ensure compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers.

    The position will ensure that appropriate internal control safeguards are maintained for provider credentialing, professional coding, health system billing, cash collections, accounts receivable records, and self-pay processes.

    Develops implements and presents business operations and financial planning policies and procedures throughout revenue cycle.

    Monitors and maximizes reimbursement through denial prevention and accounts receivable management.

    Develops and implements departmental procedures, standards, tools, and techniques to effectively process claims and maximize collections.

    Coordinates with Information Resources in the development, evaluation, and maintenance of information systems for electronic billings, electronic remittances, payer reimbursement, payer confirmation of claims, denial management, corporate compliance and collections to maximize reimbursement, provide peak performance and reporting.

    Participates as a member of the subcommittee of the Corporate Compliance Committee. Supports the corporate compliance efforts through investigation, policy/procedure development and monitoring.

    Provides vendor contract management and monitoring to ensure performance and productivity for Professional Billing Services.

    Analyzes and presents data to the Vice President of Revenue Cycle and other senior management members regarding cash collections, accounts receivable, denial management and employee productivity.

    This position is responsible for collaborating with operational leaders to provide timely accurate financial information with a focus on, results compared to stated goals, reduction in denied services and areas of opportunity.

    The position will collaborate with inter-departmental teams to strengthen relationships with physicians and internal and external departments.

    Develops the budget for the assigned departments, allocating funds within budget limits to accomplish departmental and health network objectives and goals. Monitors variances against budget on an on-going basis. Ensures accurate daily/monthly statistical and financial reports are compiled and necessary.

    This position provides mentorship and development of staff to lead and engaged team.

    This position does not provide patient care.

     

     

     

    Disclaimer

    The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

     

     

     

    Minimum Qualifications
    Requirements - Required and/or Preferred

    Name

    Description

    Education:

    Must have knowledge of the English language, including reading, writing, and speaking English. Bachelor's degree required. Master's degree in business, accounting or finance with a Healthcare concentration preferred. Applicants with an MBA or MHA will be given preference.

    Experience:

    Requires five years of progressive experience in Revenue Cycle leadership, or a similar field, across multiple departments. Prior experience with and knowledge of process improvement, project management, planning, and financial analysis preferred.

    License(s):

    None

    Certification(s):

    Nationally accredited certification in Coding and Compliance preferred.

    Computer / Typing:

    Must be proficient in Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams and Word and have the ability to use the computer for online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

     

     

  • 19 Days Ago

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Enrollment Specialist
  • Renown Health
  • Reno, NV FULL_TIME
  • Position Purpose This position is responsible for performing activities and functions related to enrollment of new business, audit new and renewal business and ensure that groups and members are enrol...
  • 23 Days Ago

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Enrollment Services Representative
  • Carrington College
  • Reno, NV FULL_TIME
  • Who Are We: Carrington College helps students achieve success by providing them with "hands-on" training that uses the technologies and processes that are used in the field, allowing them to build the...
  • 23 Days Ago

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Supervisor, Medicare Enrollment
  • UHS
  • RENO, NV FULL_TIME
  • Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Pr...
  • 12 Days Ago

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Enrollment Agent I
  • IDEMIA
  • Reno, NV FULL_TIME
  • Overview IDEMIA is the global leader in identity and security. Our mission is to create a safe and simple future where identity verification is indisputable, and only you can assert your identity. We ...
  • 2 Months Ago

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Billing Clerk
  • PrideStaff
  • Reno, NV FULL_TIME
  • Billing Clerk JOB SUMMARY : The Billing Clerk supports the Customer Service Manager / Billing Supervisor and Operations department in the performance of daily activities which including collecting, en...
  • 22 Days Ago

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0 Enrollment & Billing Director jobs found in Reno, NV area

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Planning Manager
  • Legrand Data Center Solutions
  • Reno, NV
  • At a Glance Legrand has an exciting opportunity for a Planning Manager to join the Data, Power & Control Division in Ren...
  • 3/28/2024 12:00:00 AM

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Provider Compensation_Contracts Specialist
  • Renown Health
  • Reno, NV
  • Position Purpose The primary focus of this position is to assist the Director of Provider Recruitment and Relations and/...
  • 3/28/2024 12:00:00 AM

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Marketing Coordinator
  • Atlantis Casino Resort & Spa
  • Reno, NV
  • Overview: Come join Team Atlantis! The Marketing Coordinator provides support to the director of marketing. He/she will ...
  • 3/28/2024 12:00:00 AM

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Court Financial Operations Specialist
  • City of Reno, NV
  • Reno, NV
  • Court Financial Operations Specialist Print Subscribe Class Title Court Financial Operations Specialist Class Code 1518 ...
  • 3/28/2024 12:00:00 AM

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Personal Banker - Roving - California - Nevada District
  • WELLS FARGO BANK
  • Incline Village, NV
  • Why Wells Fargo: Are you ready for the next step in your career? This is where it begins - at a company known for our "W...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Reno, NV
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
  • 3/27/2024 12:00:00 AM

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Revenue Project Coordinator - Coordination of Benefits
  • UHS
  • Reno, NV
  • Responsibilities Job Summary: The Revenue Project Coordinator -Coordination of Benefits (COB) will focus on Medicare Sec...
  • 3/26/2024 12:00:00 AM

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Financial Analyst
  • Power Sonic
  • Reno, NV
  • Financial Analyst Job Summary Job Summary Job duties for Power-Sonic’s financial analyst will include evaluating financi...
  • 3/24/2024 12:00:00 AM

Reno (/ˈriːnoʊ/ REE-noh) is a city in the U.S. state of Nevada, located in the northwestern part of the state, approximately 22 miles (35 km) from Lake Tahoe. Known as "The Biggest Little City in the World", Reno is known for its casino industry. It is the county seat of Washoe County. The city sits in a high desert at the foot of the Sierra Nevada and its downtown area (along with Sparks) occupies a valley informally known as the Truckee Meadows. The city is named after Union Major General Jesse L. Reno, who was killed in action at the Battle of South Mountain on Fox's Gap. Reno, with an esti...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Enrollment & Billing Director jobs
$143,083 to $208,380
Reno, Nevada area prices
were up 2.5% from a year ago

Enrollment & Billing Director in Florence, SC
“Budget Billing allows customers to know what they can expect each month, and prevents the fluctuations in payments associated with the changing of the seasons,” said Karen Duncan, City Finance Director.
February 22, 2020
Enrollment & Billing Director in Medford, OR
The center staff will try to accommodate the enrollment needs of parents, but because of being a university based center, there is no guarantee that spaces will be available at the exact time to meet the needs of parents.
February 12, 2020
Enrollment & Billing Director in New Haven, CT
A minimum of 7 years managing direct customer support operations, with membership related duties inclusive of enrollment, billings and reconciliations preferred.
January 18, 2020