Manager, Enrollment and Billing
Delta Dental of Idaho
full-time
Posted on:
Location Type: Hybrid
Location: Boise • Idaho • United States
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About the role
- Provide effective leadership and supervision of Enrollment and Billing staff by managing performance, supporting professional development, ensuring appropriate staffing and coverage, and fostering a collaborative, accountable team environment that supports timely and accurate work outcomes.
- Oversee enrollment and eligibility operations across all product lines, including state exchange plans, to ensure the timely, accurate, and complete administration of enrollment data across operational systems.
- Evaluate and determine appropriate outcomes for customer exception requests.
- Review and validate employer group accounts for accuracy, timeliness, and compliance.
- Manage state exchange subscriber data, premium credits, and reporting responsibilities.
- Prepare and submit required reimbursement reports to CMS and ensure alignment with regulatory guidelines.
- Ensure compliance with HIPAA, ACA, CMS, and other applicable federal and state regulations.
- Analyze enrollment, billing, and related operational data to assess performance and inform management decisions.
- Demonstrate adaptability to evolving and emerging systems, tools, and workflows, and support the thoughtful adoption of new technologies that improve operational outcomes.
- Identify operational trends and underlying issues, including manual adjustments, and recommend or implement corrective actions to prevent recurrence.
- Partner with internal stakeholders, including IT and operational staff, to prioritize, implement, and validate process or system improvements.
- Maintain departmental policies and procedures to support consistent, accurate, and compliant operations.
- Build and maintain effective working relationships with internal partners such as IT, Finance, Claims, Customer Service, Sales, and Compliance.
- Demonstrate a commitment to the organization’s vision, mission, values, code of ethics, and compliance/security standards.
- Other duties as assigned.
Requirements
- Bachelor’s degree in accounting, finance, business administration, or equivalent experience.
- Proven management or supervisory experience in a billing, enrollment, healthcare, or insurance environment.
- Strong proficiency in Microsoft Office applications, especially Excel, Word, and Outlook.
- Excellent analytical, organizational, and problem-solving skills with the ability to manage multiple priorities.
- Strong verbal and written communication skills with the ability to collaborate effectively across diverse teams and stakeholders.
- Experience with state or government health exchanges (Idaho preferred).
- Prior experience in healthcare, insurance, or financial services strongly preferred.
- Ability to maintain confidentiality and work with sensitive information.
Benefits
- Medical, dental, and vision
- 401K with up to 6% company contribution
- Generous PTO and up to 9 paid holidays
- Community Service Time
- Flexible schedule and 1/2 day Fridays
- Tuition and continuing education reimbursement
- Casual dress code
- ...and more!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
enrollment operationsbilling operationsdata analysiscompliance managementreportingexception request evaluationpremium credits managementoperational data assessmentprocess improvementstaff performance management
Soft Skills
leadershipcollaborationadaptabilityanalytical skillsorganizational skillsproblem-solvingcommunicationrelationship buildingaccountabilitycommitment to ethics