Director Enrollment, Billing & Reconciliation

The Director of Enrollment, Billing and Reconciliation oversees the following functional areas: overall enrollment, eligibility and billing operations, and all associated reconciliation functions across all products. The Director leads Enrollment, Billing & Reconciliation operations teams to ensure timely and accurate processing of eligibility, enrollment and billing transactions and processes, including but not limited to billing, premium collection, enrollment, effectuation, invoicing, change, disenrollment, reconciliation, and other enrollment and eligibility related operations. The incumbent ensures the highest level of service is provided to members, customers and internal stakeholders while promoting member satisfaction and account retention. High level of engagement and collaboration with Market General Managers and internal stakeholder executives is required. The incumbent also ensures regulatory compliance with all Centers for Medicare & Medicaid Services (CMS) Guidelines and Department of Health regulations as well as all associated offices.

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