Senior Manager, Billing posted Feb. 2, 2013
Sr Mgr, Billing, Comprehensive Health Management Inc. aka Wellcare, Tampa FL. Manage Billing Dept in accordance w/ corporate policies related to CMS, Federal/State Regulations, Compliance Standards, Fair Credit Reporting, Internal/External Audits & Fraud prevention. Responsible for execution of corporate Billing & Failure to Pay Policy, regulatory, Legal & Compliance Controls in accordance w/ all State/Federal Medicare, Medicaid & Cost Share requirements. Execute management, operational compliance & performance goals, incl. adhering to quality standards of Billing Dept. Directly contribute to increasing bottom line profitability through reduction of bad debt exposure inclusive of establishment/execution of Medicare Failure to Pay/collection and refund policy/procedures. Req. BS in accounting or related field + 60 mo. exp. w/ Medicare/Medicaid Healthcare Acct'g, Billing/Collections, General Ledger & managing member billing & collections of state/federal government programs. Must incl. 40 mo. w/ Aged Blind and Disabled reconciliations & management of 820/834 reconciliations of enrollment & failure to pay premium disenrollment payment programs. Also req. demonstrative ability to effectively communicate w/ government partners, field offices & various levels of internal/external management providing support for Compliance, CMS, State/Federal Audits & HIPAA. Apply to Req # 1300639 at wellcare.com.