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)
Roles & Responsibilities:
Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites.
Identify root cause issues for denials; categorize denial
Effectively resolve complex issues, including payment research, payment recoups
Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
Experience & Requirements:
High School Diploma or equivalent
Must have a minimum of 3 years’ experience in physician collections
Knowledge of CPT and ICD10 codes is a plus
A/R follow-up, denials and appeals preferred
Excellent analytical and problem-solving skills
Ability to multi-task and recognize trends to effectively work A/R
Solid skill with Microsoft Office applications: Word, Excel
Job Type: Full-time
Salary: $22.00 - $25.00 per hour
Benefits:
Medical specialties:
Schedule:
Experience:
Work Location: In person
Job Type: Full-time
Pay: $22.00 - $25.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person
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