Enrollment & Billing Representative jobs in California

Enrollment & Billing Representative is responsible for the accurate enrollment and billing process for an insurance organization. Maintains related documents, updates corresponding records and responsible for enrollment and billing query. Being an Enrollment & Billing Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. The Enrollment & Billing Representative possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Commercial Enrollment & Billing Manager
  • UST HealthProof
  • Aliso Viejo, CA FULL_TIME
  • Role Description

    Commercial Enrollment & Billing Manager

    Manager II - BPM

    Who We Are

    UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers — and better outcomes for our communities.

    We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States.

    You Are

    UST HealthProof is looking for a Commercial Enrollment & Billing Manager. You will be responsible for overseeing and managing the enrollment and billing processes for the commercial lines of business. You will lead a team of enrollment and billing specialists to ensure accurate and timely enrollment of members and premium billing.

    The Opportunity

    • Develop and implement enrollment and billing procedures and workflows for clients consistent with client specified guidelines.
    • Monitor enrollment and billing related operational trends and identify opportunities for process improvements.
    • Partner with cross functional operational teams to analyze enrollment and billing information and recommend solutions.
    • Implement new processes, technologies, and systems to improve and streamline enrollment processes and resource utilization.
    • Develop and execute strategies to achieve key performance measures.
    • Monitor regulatory guidelines for impact to commercial enrollment and billing processes and take appropriate action.

    This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. 

    What You Need

    • 7 years of progressive management experience in the management of commercial enrollment and billing.
    • A thorough understanding of commercial enrollment and billing related guidelines.
    • Effective communications including the ability to obtain clear information and remove ambiguity as needed to arrive at shared expectations.
    • An advanced ability to approach problems as challenges and deal with them constructively and promoting this approach with all team members.
    • Well-developed organizational habits and toolkits.
    • Build partner relationships for the benefit of the organization.
    • Expertise in MS Word, Excel, PowerPoint, MS Visio.

    Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. As required by applicable law, UST provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

    Role Location: Remote

    Compensation Range: $74,000 - $110,000

    Our full-time, regular associates are eligible for 401K matching, and vacation accrual and are covered from day 1 for paid sick time, healthcare, dental, vision, life, and disability insurance benefits.

    What We Believe

    We’re proud to embrace the same values that have shaped UST HealthProof since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do.

    Humility

    We will listen, learn, be empathetic and help selflessly in our interactions with everyone.

    Humanity

    Through business, we will better the lives of those less fortunate than ourselves.

    Integrity

    We honor our commitments and act with responsibility in all our relationships.

    Equal Employment Opportunity Statement

    UST HealthProof is an Equal Opportunity Employer.

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

    UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

    #Healthproof

    #CB

    Skills

    Commercial Enrollment & Billing, Manager, Health Plan

  • 6 Days Ago

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Assistant Director, Outreach
  • Enrollment Services
  • Los Angeles, CA FULL_TIME
  • The Office of Financial Aid is seeking an Assistant Director, Outreach to join the team. The outreach team wears various hats serving all student populations with financial aid concerns from undergrad...
  • Just Posted

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Student Records Technician
  • Enrollment Services
  • Los Angeles, CA FULL_TIME
  • The USC Admission Processing Center is seeking a Student Records Technician to join our team. Are you results-oriented? Do you have an eye for detail? Do you have a proven track record for accuracy in...
  • 1 Day Ago

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Enrollment Representative
  • Pioneer Executives
  • Fresno, CA FULL_TIME
  • At Pioneer Executives, our dedicated team is deeply committed to making a positive impact on our community. We're looking for an Enrollment Representative to provide exceptional assistance to our nonp...
  • Just Posted

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Enrollment Representative
  • Prime Promotions
  • Fremont, CA FULL_TIME
  • Bring your big dreams and career goals to Prime Promotions. and you may find that your career catapults to places you never imagined. As a leader in management consulting, customer acquisitions, and o...
  • Just Posted

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Enrollment Representative
  • CPM San Bernardino
  • Fontana, CA FULL_TIME
  • We are a dynamic group of motivated business professionals! We operate the same way athletes do on a competitive sports team--our core values being leadership, integrity, teamwork, and accountability....
  • 1 Day Ago

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Billing Rep
  • CHI
  • Lake Jackson, TX
  • Overview St. Luke's Health-Brazosport Hospital is located on a beautiful 25-acre campus in Lake Jackson Texas. Offering ...
  • 6/2/2024 12:00:00 AM

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Commercial Invoicing Assistant
  • Servpro Industries, LLC
  • Gallatin, TN
  • What we offer Excellent health benefits plan, which includes medical, vision and dental options 401(k) with company matc...
  • 6/2/2024 12:00:00 AM

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Billing Rep
  • Piedmont Healthcare
  • Atlanta, GA
  • Generating, reviewing and transmitting claims for hospital-based services to third-party payors. Collaborating across Re...
  • 5/31/2024 12:00:00 AM

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Billing Rep
  • Catholic Health Initiatives
  • Lake Jackson, TX
  • **Overview** St. Lukes HealthBrazosport Hospital is located on a beautiful 25-acre campus in Lake Jackson Texas. Offerin...
  • 5/31/2024 12:00:00 AM

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Billing Rep
  • Baptist Health
  • Little Rock, AR
  • Shift: Day Working Hours: 40 hours per week Summary: First level position for Billing Rep. Performs all functions necess...
  • 5/31/2024 12:00:00 AM

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Enrollment/Billing Representative - Remote
  • Cigna Corporation
  • Warrendale, PA
  • Follows standard operating procedures to edit, bill, and collect payment on basic outstanding claims in pursuit of reduc...
  • 5/29/2024 12:00:00 AM

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Billing Rep
  • Common Spirit
  • Pasadena, TX
  • Overview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With m...
  • 5/29/2024 12:00:00 AM

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Billing Representative
  • The CSI Companies
  • Tampa, FL
  • Do you want to work for a company that Forbes' named one of the best employers of 2023? Do you want to fast-track your c...
  • 5/29/2024 12:00:00 AM

California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Enrollment & Billing Representative jobs
$37,699 to $47,913

Enrollment & Billing Representative in Boca Raton, FL
Showing up in person often demonstrates determination and initiative that most employers will find alluring in a potential representative.
February 13, 2020