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Manager, Enrollment and Premium Billing

Company: Kelsey Seybold Clinic
Location: Pearland
Posted on: May 3, 2021

Job Description:

Overview

Manager, Enrollment and Premium Billing

Location: Pearland Administrative Office

Department: Kelsey- Care AdvantageJob Type: Full-Time

COMPANY PROFILE

Kelsey-Seybold Clinic. Changing the way health cares.

Kelsey-Seybold Clinic is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey. With more than 21 clinic locations and more than 400 physicians, Kelsey-Seybold provides medical care in 55 medical specialties and is home to a nationally accredited Breast Diagnostic Center, Endoscopy Center, Infusion Center and Cancer Center. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.

JOB SUMMARY

This position manages the oversight of enrollment activities for the organization's Medicare Advantage and commercial capitated health plan lines of business through ensuring policies and procedures are followed and quality performance metrics are met. The manager is responsible for developing productivity standards and quality/training programs as well as creating department policy and procedures to support enrollment, premium billing and quality assurance activities. Duties include but are not limited to the following: (1) managing the activities of Enrollment Analysts, Premium Billing and Quality Coordinators, (2) ensuring productivity standards and quality/training programs are being followed and contractual requirements are met, (3) generating reports to ensure phone performance and Medicare Advantage work for the enrollment team are meeting standard, and performs counseling/coaching as needed.

EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

(A = basics; B = preferred)

Education

A.

Bachelor's Degree or equivalent experience

B.

Experience

A.

3 - 5 years supervisory/managerial experience in the health care industry

Note: The ideal candidates will have working knowledge of Medicare Advantage

B.

Prior Medicare Advantage experiencePrior experience working specifically with enrollment activities for Medicare Advantage plan.1 year experience using call tracking system.

Licenses

A.

Valid Texas Driver's License and ability to travel throughout metropolitan Houston

B.

Special Skills

A.

Proficient with Microsoft Word and Excel

B.

Other

A.

Excellent analytical and problem solving skills and written/verbal communication skills Ability to work in a fast paced environment; demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines

B.

WORKING ENVIRONMENT

Clinical

Keywords: Kelsey Seybold Clinic, Pearland , Manager, Enrollment and Premium Billing, Other , Pearland, Texas

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