Manager – Enrollment & Billing

Manager – Enrollment & Billing

Requirements

• Leadership experience in a high volume production billing, enrollment, claims, call center environment or related environment.
• Background in providing customer service or improving the member’s experience while addressing customer issues and complaints in a timely manner.
• Direct supervisory or management experience in an operational department within the healthcare industry (which can include commercial insurance plan, hospital, nursing home, third party administrators, or other related area).
• Experience managing inventories, overseeing performance management (production based metrics) and staff development of assigned personnel.
• Understanding of member billing or enrollment processes in order to optimize and streamline current processes effectively (as needed).
• Experience addressing, documenting, managing employee relation issues (i.e. attendance, tardiness, or behavioral concerns) and fostering positive employee relations.
• Experience providing project direction, supporting training and development, administering company policies.
• Strong communication and presentation skills through all levels.
• Bachelor’s degree from an accredited institution or relevant work experience.

Responsibilities

• Implements and communicates departmental standards
• Manages employee performance and the quality of the team’s work
• Monitors productivity reports and department report card
• Manages and develops Team Leads to be effective leaders
• Works with Team Leads to establish and implement departmental goals, review goals on monthly basis and implement a Plan of Action where goals are not met
• Ensures Team Leads are managing their team’s performance through coaching, feedback, documentation and escalation to Human Resources where appropriate
• Engages with other operational units to ensure excellence in customer service and operational excellence
• Partners with direct reports to resolve problems through root cause analysis and the identification and implementation of short term and long term solutions to the problems
• Reconciles Account Receivable variances for Medicare
• Reviews document retention procedures
• Communicates General Ledger vs. supportable variances to Finance Corp.
• Additional duties as assigned.

Preferred Qualifications

• Any experience with employee performance management systems.
• Experience with User Acceptance Testing, Data Analysis/Reporting and defining Business Requirements.
• Demonstrate the ability to effectively work cross-division for successful outcomes.
• Familiar with the HIPAA 834 Specifications and/or other electronic transmission of data.
• Demonstrate a sense of urgency in problem resolution and management.
• Can oversee the implementation of projects and effectively communicate outcomes with all level staff.
• Keeps up to date with healthcare practices, laws regulations and trends through participation in professional development activities.