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)
This is skilled work in the field of health care contracting and claims coding. The position will review and negotiate contracts with all payers to maximize revenue and provide support to the Revenue Cycle department in resolving payer issues. This position is required to review all payer quality incentive program requirements and develop coding guidance to allow more efficient methods for capturing accurate reporting data to maximize incentive revenues. This position will also work closely with finance, quality management and corporate compliance staff to develop reports necessary for grant reporting, including UDS and Medicare Cost Report.
Knowledge, Skills, and Abilities
Qualifications/Education Requirements
High school diploma or GED certificate required. Experience with NextGen Electronic Health Record and Electronic Practice Management Minimum five years of experience in medical billing and coding. Experience in payer contracts negotiation. 2 years of leadership experience.
Core Competencies
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0 Enrollment & Billing Manager jobs found in Biloxi, MS area