Enrollment & Billing Manager jobs in Charleston, WV

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)

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Provider Enrollment Manager -- WV Health Population -- Northgate-400 Association Dr.
  • CAMC Health System
  • Charleston, WV FULL_TIME
  • Under the direction of the Executive Director, the Provider Enrollment Manager is responsible for the daily activities of a team of Provider Enrollment Specialists, focused on commercial and government payor enrollment activity for the assigned market(s). The Manager coaches and empowers the team providing resources to work independently.

    Responsibilities

    • Ensure that the department is up to date regarding current payor enrollment requirements and processes to minimize enrollment delays. This includes policy and process documentation. • Ensure the timely submission and follow up of enrollment with the payers to ensure that each provider is billing ready upon the commencement of their employment. • Ensure the timely submission of re-credentialing documentation for each provider. • Actively and continuously analyzes workflows, organizational structure, staffing assignments or other factors to ensure optimal performance; makes recommendations and modifications, as necessary. • Provide clear direction for staff by establishing goals, objectives, policies, procedures, performance improvement programs, and action plans as needed. Performs training, coaching, auditing and evaluations of Provider Enrollment staff. Supervises enrollment staff and workflow including guidance and training for staff • Oversee maintenance of Provider Enrollment Databases. Responsible for the timely updating in Payer portals, CAQH, and other applications as appropriate. • Effectively communicate with practice management the status of the providers with the third-party payers. • Staff training and development through supportive hands-on leadership • Workload management through planning, prioritizing, and assigning work according to shifting priorities • Report out on team’s productivity using custom reporting to Leadership • Monitor and actively participate in the monthly meetings and other operational revenue meetings • Audits payer websites for erroneous or missing provider profile data • Ensure the strategic plan, mission vision and values are communicated to the team and are integrated in its goals, objectives, and work in a positive manner. • Work with Leadership in developing new processes and procedures to improve quality and quantity of work. • Recognize and recommend operational improvement as needed • Assist with other departmental project assignments per management request

    Knowledge, Skills & Abilities

    Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients. Competency Statement Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist. Common Duties and Responsibilities (Essential duties common to all positions) 1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned.

    Education

    • Bachelor's Degree (Required) Education: Bachelor’s degree in Business office Administration, Health Care Management or related field preferred

    Experience: 5-10 years of experience in a related field or an equivalent combination of education and experience.

    Minimum 3-5 years of managerial experience in professional healthcare setting or health insurance plan provider enrollment setting required.

    Experience with MDStaff and CAQH enrollment systems preferred

    Comments: • Must possess strong verbal and written communication skills • Knowledge of third-party payer requirements and guidelines • Must possess strong analytical skills, accurate typing and computer skills, including Outlook, Excel and Word • Able to adjust to changes and adapt to new processes • Ability to research issues and to recommend feasible solutions • Advanced knowledge of and ability to use computers and related software including MS Excel spreadsheet, Word, and Email

    Credentials

    • No Certification, Competency or License Required

    Work Schedule: Days

    Status: Full Time Regular 1.0

    Location: Northgate-400 Association Dr.

    Location of Job: US:WV:Charleston

    Talent Acquisition Specialist: Tamara B. Young tammy.young@vandaliahealth.org

  • 3 Days Ago

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Family Enrollment Counselor
  • Pearson
  • Charleston, WV FULL_TIME
  • About the role Working from your home office, the Family Enrolment Counselor focuses on building and maintaining positive and productive relationships with families interested in enrolling in a Connec...
  • Just Posted

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Business Analyst - Provider Enrollment
  • Gainwell Technologies LLC
  • Cross, WV FULL_TIME
  • Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have ...
  • 10 Days Ago

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Billing Clerk
  • Carl Larson Cancer Center
  • Beckley, WV FULL_TIME
  • Carl Larson Cancer Center (CLCC) is a physician owned community oncology practice located at 275 Dry Hill Rd. in Beckley, West Virginia. As a well-established pillar in the community, our fundamental ...
  • 24 Days Ago

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Billing specialist
  • Pharmacy Solutions Group - West Virginia
  • Cabin Creek, WV FULL_TIME
  • The West Virginia Pharmacy Solutions Group is currently recruiting Pharmacy Billing Specialists to join our team. Benefits Our employees enjoy competitive wages and PTO plans. We offer full time emplo...
  • Just Posted

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Billing Specialist
  • Cipriani & Werner
  • Charleston, WV FULL_TIME
  • Cipriani & Werner PC is a multidisciplinary law firm. We have long been recognized as a firm that seeks first to understand the needs and interests of our clients. From that point forward, we strive t...
  • 3 Days Ago

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0 Enrollment & Billing Manager jobs found in Charleston, WV area

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Travel Registered Nurse RN Long Term Acute Care LTAC
  • OneStaff Medical
  • Charleston, WV
  • We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to w...
  • 3/28/2024 12:00:00 AM

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Senior Writer
  • Outlier
  • Charleston, WV
  • Outlier helps the world's most innovative companies improve their AI models by providing human feedback. In this role, y...
  • 3/28/2024 12:00:00 AM

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Clinical Research Coordinator -- Clinical Trials Center -- Memorial-MSOB
  • Charleston Area Medical Center
  • Charleston, WV
  • Job Summary Coordinates all aspects of clinical research trials. Assists in managing relationships with sponsors, physic...
  • 3/28/2024 12:00:00 AM

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Teacher / Music (WEMS)
  • West Virginia Department of Education
  • Walton, WV
  • Position Type: Elementary Teaching/Music Date Posted: 12/18/2023 Location: Walton Elementary / Middle School County: Roa...
  • 3/27/2024 12:00:00 AM

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(Hybrid) Nutrition Outreach Instructor - WVU Extension Service (Clay and Braxton Counties)
  • West Virginia University
  • Clay, WV
  • The WVU Extension Service (WVUES) is seeking applications for a Nutrition Outreach Instructor. About the Opportunity As ...
  • 3/27/2024 12:00:00 AM

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Manpower Marketing Coordinator
  • Manpower
  • CHARLESTON, WV
  • Manpower In-House Marketing & Communications Coordinator Hours: Full-Time In-House: not remote position Summary: Manpowe...
  • 3/27/2024 12:00:00 AM

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Travel Registered Nurse RN Long Term Acute Care LTAC
  • OneStaff Medical
  • Charleston, WV
  • We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to w...
  • 3/26/2024 12:00:00 AM

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COMPASS Project Coordinator
  • BridgeValley Community & Technical College
  • Charleston, WV
  • Salary: $35,568.00 - $40,000.00 Annually Location : South Charleston, WV Job Type: Non Classified Staff Job Number: 282 ...
  • 3/25/2024 12:00:00 AM

Charleston is the most populous city in, and the capital of, the U.S. state of West Virginia. Located at the confluence of the Elk and Kanawha rivers, the population during the 2017 Census Estimate was 47,929. The Charleston metropolitan area as a whole had 214,406 residents. Charleston is the center of government, commerce, and industry for Kanawha County, of which it is the county seat. Early industries important to Charleston included salt and the first natural gas well. Later, coal became central to economic prosperity in the city and the surrounding area. Today, trade, utilities, governm...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Enrollment & Billing Manager jobs
$89,049 to $116,070
Charleston, West Virginia area prices
were up 1.2% from a year ago

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