Enrollment & Billing Director jobs in Pensacola, FL

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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PROVIDER ENROLLMENT COORDINATOR
  • The State of Florida
  • Pensacola, FL FULL_TIME
  • Requisition No: 825542

    Agency: Agency for Persons with Disabilities

    Working Title: PROVIDER ENROLLMENT COORDINATOR - 67016156

    Pay Plan: Career Service

    Position Number: 67016156

    Salary: $36,178.71-$37,977.96 Annually

    Posting Closing Date: 04/02/2024

    Total Compensation Estimator Tool

    AGENCY FOR PERSONS WITH DISABILITIES


    POSITION: Human Service Program Specialist - Career Service


    WORKING TITLE: Provider Enrollment Coordinator


    POSITION’S LOCATION: NorthwestPensacola, FL


    POSITION NUMBER: 67016156


    OPEN COMPETITIVE OPPORTUNITY


    CANDIDATE POOL: Future vacancies may be filled from this advertisement for a period of up to six months.


    Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:


    • Health insurance (over 90% employer paid)
    • $25,000 life insurance policy (100% employer paid)
    • Dental, vision and supplemental insurances available at state rates
    • State of Florida retirement package
    • Generous vacation and sick leave
    • 10 paid holidays a year
    • Career advancement opportunities
    • Tuition waiver for state college/university courses
    • Training opportunities
    • Parental Paid Leave

    For additional benefit information available to State of Florida employees, go to http://www.mybenefits.myflorida.com


    The Agency for Persons with Disabilities works in partnership with local communities to support people with developmental disabilities in living, learning, and working in their communities. APD provides critical services and supports for customers with developmental disabilities to reach their full potential. The Agency serves people with spina bifida, autism, Down syndrome, children ages 3-5 at high risk of developmental disabilities, cerebral palsy, Prader-Willi syndrome, Phelan-McDermid syndrome, and intellectual disabilities. There is no charge or co-payment for services provided through the Agency. www.apdcares.org


    SALARY RANGE


    $ 36,178.71- $37,977.96 Annually $1,391.49 - $1,460.69 Bi-weekly


    SPECIFIC DUTIES AND RESPONSIBILITIES


    Employees of the Agency for Persons with Disabilities are required to demonstrate total commitment to outstanding customer service. This includes, but is not limited to, always acting in a responsive, professional, courteous manner with the employees, customers, and public we serve at all times.


    Duties and responsibilities include, but are not limited to, the following:


    This is a professional position responsible for all activities associated with the recruitment, enrollment, and maintenance of iBudget waiver applicants; issuance and renewal of Medicaid Waiver Service Agreements (MWSA), processing provider expansion requests, and processing changes of ownership in APD iConnect. Responsibilities associated to this position are:


    Review incoming Medicaid Waiver provider application packets and notify applicant of application deficiencies within 30 days. Close applications and send notice of closure if the complete application is not received within 45 days of notice of deficiency. Maintain record of all correspondence with the applicant in the provider record. Issue APD Initial iBudget Waiver Sign-off notice to applicants for submission to the AHCA provider enrollment portal once a complete application is received and applicant’s background screening clearance, education and experience has been verified.


    Process requests for access to the AHCA Clearinghouse for provider applicants. Once enrolled, monitor re-screening compliance and process alerts to ensure providers adhere to time frames established in the Florida laws. Maintain communication with the State Office Background Screening unit related to the processing of exemption packets and other screening matters. Provide guidance on Background Screening requirements to provider applicants and existing providers as needed.


    Track provider progress through the AHCA application process, close out applicants who do not complete the process and notify State Office Provider Terminations team. Draft, route and issue the initial Medicaid Waiver Service Agreements for those who meet AHCA enrollment requirements. Enter and track MWSA dates in iConnect to ensure renewals are processed within designated time frames and executed agreements are in place prior to the expiration date of the current agreement. Prior to executing renewal agreements, ensure all Waiver enrollment requirements are met, including but not limited to ensuring the provider has current approved Level 2 background screening and has provided APD with a copy of the current Professional Business Liability Insurance policy naming APD as the certificate holder.


    Enter new providers into APD iConnect including adding the MWSA and Business Liability Insurance expiration dates and maintain provider record in iConnect. Add all APD residential licensed providers in ABC for room and board payment processing in addition to other service providers only if general revenue payments will be issued to the provider.


    Provide technical assistance to providers in regard to service provision requirements. Refer provider to the TRAIN Florida unit for user account setup. Respond to provider inquiries in a timely way regarding Medicaid Waiver enrollment qualifications and processes. Conduct technical assistance with provider applicants related to the completion of the enrollment packet, and on required documentation evidencing qualifications, training, and experience.


    Process requests for expansion with existing providers. Submit expansion denial action requests to State Office for their consideration. Communicate the expansion approval/denial to the requesting provider. Assist in the development and submission of Provider Agency Action Forms for providers who are being considered for termination.


    Conduct provider recruitment activities, as needed, and target the recruitment of specific types of providers needed in the Region. Participate in meetings, conference calls, training, workshops/workgroups, and other miscellaneous activities as needed.


    Performs other duties as assigned.


    Conducts activities related to disaster planning.


    REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES


    • Ability to: Maintain, monitor, and utilize tracking systems and to travel to conduct enrollment activities as needed. Ability to understand and use the Medicaid Waiver Services iBudget Handbook to ensure compliance with minimum qualifications for all provider applicants and ongoing enrollment requirements for Waiver providers. Ability to travel to conduct enrollment activities as needed.

    • Demonstrate Skills in: Demonstrates skills in Microsoft Office including Outlook, Teams, Excel, and Word.

    POSITION REQUIREMENTS


    • High School Diploma or equivalent.

    • Valid Driver's license.

    • Must be Proficient in Microsoft Office including Outlook, Teams, Excel, and Word.

    • Must be able to multi- task.

    ADDITIONAL INFORMATION


    PROFILE COMPLETION


    Applicants must complete all fields in the Candidate Profile, including their work history with the month and year, to qualify for this position.


    Responses to Qualifying Questions must be verifiable in the Candidate Profile, and “see resume” will not be considered an acceptable response.


    Resumes and other documentation can be attached to provide additional information, but these will not replace the required completed Candidate Profile.


    RETIREE NOTICE


    If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be suspended or voided, and you will be required to repay all benefits received depending upon the date of your retirement.


    DIRECT DEPOSIT PROGRAM


    As a condition of employment, a person appointed to a position in the State Personnel System is required to participate in the Direct Deposit Program. Rather than receiving a paper paycheck, your funds will be deposited directly into your account at your financial institution. This will be accomplished by Electronic Funds Transfer. Banks, savings and loan associations, and credit unions are eligible to accept such deposits. Retirement funds are also required to be in the Direct Deposit Program.


    BACKGROUND SCREENING REQUIREMENT


    It is the policy of the Florida Agency for Persons with Disabilities that applicants for employment undergo Level 2 employment screening in accordance with the requirements of Chapter 435, Florida Statutes, as a condition of employment or being permitted to serve as a volunteer.


    No applicant for a designated position will be employed or permitted to volunteer until the Level 2 screening results are received, reviewed, and approved by the Agency.
    Level 2 background screening shall include, but not be limited to, fingerprinting for Statewide criminal and juvenile records checks through the Florida Department of Law Enforcement, and Federal criminal records checks through the Federal Bureau of Investigation and may include local criminal records checks through local law enforcement agencies.


    Pursuant to S. 110.1127(1), Florida Statutes, this position requires a background investigation, including fingerprinting.


    APD only hires U.S. citizens, and those lawfully authorized to work in the U.S. APD participates in the U.S. government’s employment eligibility verification program (E-verify). E-verify is a program that electronically confirms an employee’s eligibility to work in the U.S. after completing the employment eligibility verification form (I-9).


    All applicants should complete the online application process. If assistance is needed to apply for this position, please call the people first service center at 1-877-562-7287.


    Responses to the qualifying questions are required to be considered for this position. Answers to the qualifying questions must be verifiable based on your submitted application.

    The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

    Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

    The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

    VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.

  • 7 Days Ago

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PROVIDER ENROLLMENT COORDINATOR - 67016156
  • State of Florida
  • PENSACOLA, FL FULL_TIME
  • Requisition No: 825542 Agency: Agency for Persons with Disabilities Working Title: PROVIDER ENROLLMENT COORDINATOR - 67016156 Pay Plan: Career Service Position Number: 67016156 Salary: $36,178.71-$37,...
  • 7 Days Ago

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Enrollment Educator III
  • Spectraforce Technologies
  • Pensacola, FL FULL_TIME
  • Title: RN Health Educator (PRN) - Pensacola, Florida Duration: 8 Months Location: Remote - Must reside in Pensacola, FL Pay-rate is $125/hr. while presenting and $20/hour for travel-time. * Excellent ...
  • 8 Days Ago

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Billing Specialist
  • Guardian Pharmacy of NW Florida, LLC
  • Crestview, FL FULL_TIME
  • Crestview, Florida, United States of AmericaGuardian Pharmacy of Northwest Florida is part of the Guardian Pharmacy Services network and prides itself on its customer service. Each team member plays a...
  • 2 Days Ago

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Billing Auditor
  • Old Seville Waste Experts
  • Gulf Breeze, FL FULL_TIME
  • Old Seville Expense Reduction Inc, DBA Waste Experts (www.wasteexperts.com) has an immediate need for a billing auditor. Billing Auditor is responsible for reviewing client vendor invoices for accurac...
  • 4 Days Ago

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Billing Analyst
  • Reliance Test & Technology
  • Crestview, FL FULL_TIME
  • InDyne is a full-service military, civilian and commercial operations company. Our Mission is to provide tailored cost effective, quality services and solutions. Our Vision is to exceed customer expec...
  • 5 Days Ago

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0 Enrollment & Billing Director jobs found in Pensacola, FL area

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Internal Revenue Agent - 12 Month Roster
  • Department Of The Treasury
  • Pensacola, FL
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL(LB&I)DIVISION? A description of the business units can be found at: ...
  • 3/28/2024 12:00:00 AM

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Internal Revenue Agent / Senior Revenue Agent (Examiner)-12 Month Roster AMENDED
  • Department Of The Treasury
  • Pensacola, FL
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at: https...
  • 3/28/2024 12:00:00 AM

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LensCrafters - EyeCare Advisor
  • EssilorLuxottica
  • Pensacola, FL
  • Requisition ID: 837905 Store #: 000481 LensCrafters Position:Full-Time Total Rewards: Benefits/Incentive Information At ...
  • 3/28/2024 12:00:00 AM

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Executive Director - Financial Operations
  • Baptist Health Care
  • Pensacola, FL
  • Job Description The Executive Director - Finance provides management with key strategic information on assigned business...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Pensacola, FL
  • 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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Coder II- Remote
  • Baptist Health Care
  • Pensacola, FL
  • Job Description The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes acco...
  • 3/26/2024 12:00:00 AM

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Director of Finance
  • Air Force Enlisted Village, Inc.
  • Shalimar, FL
  • The Air Force Enlisted Village (AFEV), a 501(c)(3) not-for-profit, is a 55+ retirement community for retired enlisted mi...
  • 3/25/2024 12:00:00 AM

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LPC Licensed Professional Counselor
  • LifeSource, Inc.
  • Pensacola, FL
  • Job Description Job Description Hiring LPC/LMFT/LCSWs/Clinical Psychologists in the Pensacola, FL Area-Flexibility- Admi...
  • 3/24/2024 12:00:00 AM

Pensacola (/ˌpɛnsəˈkoʊlə/) is the westernmost city in the Florida Panhandle, approximately 13 miles (21 km) from the border with Alabama, and the county seat of Escambia County, in the U.S. state of Florida. As of the 2010 census, the city had a total population of 51,923, down from 56,255 at the 2000 census. Pensacola is the principal city of the Pensacola metropolitan area, which had an estimated 461,227 residents in 2012. Pensacola is a sea port on Pensacola Bay, which is protected by the barrier island of Santa Rosa and connects to the Gulf of Mexico. A large United States Naval Air Statio...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Enrollment & Billing Director jobs
$128,426 to $187,034
Pensacola, Florida area prices
were up 1.5% 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