Senior Billing and Enrollment Specialist

A company is looking for a Senior Billing & Enrollment Professional responsible for managing the enrollment and billing processes for an insurance organization. Key Responsibilities Analyze and resolve complex issues related to eligibility, enrollment, billing, and TRICARE topics Manage and maintain billing and enrollment reports, ensuring compliance with DHA and HGB systems Document and develop business requirements, and conduct annual reviews of policies and procedures Required Qualifications U.S. Citizenship required due to Department of Defense contract 5 years of healthcare technical experience with knowledge of TRICARE Systems Proficient in MS Office, particularly Excel for data management Experience in process improvement recommendations Familiarity with TRICARE rules and regulations

Mar 7, 2025 - 14:42

A company is looking for a Senior Billing & Enrollment Professional responsible for managing the enrollment and billing processes for an insurance organization. Key Responsibilities Analyze and resolve complex issues related to eligibility, enrollment, billing, and TRICARE topics Manage and maintain billing and enrollment reports, ensuring compliance with DHA and HGB systems Document and develop business requirements, and conduct annual reviews of policies and procedures Required Qualifications U.S. Citizenship required due to Department of Defense contract 5 years of healthcare technical experience with knowledge of TRICARE Systems Proficient in MS Office, particularly Excel for data management Experience in process improvement recommendations Familiarity with TRICARE rules and regulations