Enrollment and Billing Coordinator

Company: Massachusetts Health Connector
Location: Boston
Posted on: October 25, 2024

Job Description:

The Enrollment and Billing Coordinator will support the Premium Billing and Notices area by becoming a subject matter expert in operational policies and processes and participating in day-to-day team activities, and leading relevant projects. The Enrollment and Billing Coordinator reports to the Manager of Enrollment and Billing and will collaborate with internal staff, key vendors, and stakeholders in order to assist in daily operations and contribute to program improvement initiatives and project implementations.Key Responsibilities Include:

• Support Manager of Enrollment and Billing in day-to-day activities related to Premium Billing and Notices.
• Lead projects targeted at improving Premium Billing and Notices functions performed by the Health Connector and appropriate vendors and partners.
• Work collaboratively with the Health Connector internal teams (business, policy, legal, and IT) and vendors to coordinate project activities and interdependencies.
• Perform and coordinate testing and business validations and create necessary artifacts, including use cases, test cases, and business process models.
• Provide program support in areas such as member/stakeholder communications, business process design, business operations, reporting, policies and procedures development, and documentation.
• Represent operations team in cross-functional meetings and work sessions and provide subject matter expertise in Premium Billing and Notices.
• Create and distribute meeting materials and project artifacts such as project plans, presentations, operating procedure documentation, risk and decision registers, etc.
• Assist with program integrity and audit activities as needed.
• Participate in cross-functional workgroups focused on operational improvements.
• Lead and participate in projects related to day-to-day operational activities as well as planning for future implementations and enhancements.
• Monitor relevant reports to track performance and quality.
• Monitor ongoing member communications output for quality, consistency and meeting business requirements.
• Assist with the development and review of Premium Billing training materials.
• Analyze operational reports to identify potential changes needed to existing policies and procedures in Premium Billing, customer service and communications.
• Provide support to key vendors with regard to reviewing training and documentation, assisting in workflow development and assisting with escalated member issues related to projects and initiatives.
• Support Open Enrollment project activities through testing, documentation, reporting and other activities as necessary.
• Other duties as assigned.Experience & Qualifications:
  • Bachelor's Degree preferred but not required.
  • Demonstrated ability to solve problems and meet deliverables dates.
  • Preferred experience in health care, insurance, operations, billing, or customer service.
  • Preferred experience with SDLC, ticket management systems, CRMs.
  • Comfort in a fast-paced work environment with competing priorities.
  • Ability to balance varying workload and prioritize effectively.
  • Ability to work independently and collaboratively within a team.
  • Strong written and verbal communication skills to interact effectively with cross-functional teams and vendor staff.
  • Analytical and problem-solving skills.
  • Strong computer skills, including Word, Excel, and PowerPoint.
  • Vendor Management experience is strongly preferred.
  • Knowledge and understanding of the Healthcare industry and ACA strongly preferred.
  • All Health Connector employees are required to provide satisfactory proof of eligibility to work in the United States.
  • All Health Connector employees are required to provide satisfactory proof of full COVID-19 vaccination.
  • The Health Connector is operating on a hybrid work arrangement with 2 days in the downtown Boston office and 3 days working from home.
  • Employee may be requested to work an extended day and weekends to meet deadlines.About the Health Connector:The Commonwealth Health Insurance Connector Authority (Massachusetts Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth. The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers. The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.The Health Connector is an equal-opportunity employer that values diversity as a vital characteristic of its workforce. We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.
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Keywords: Massachusetts Health Connector, Pawtucket , Enrollment and Billing Coordinator, Accounting, Auditing , Boston, Rhode Island