Supervisor, Enrollment & Billing

Blue Cross and Blue Shield of Louisiana•Baton Rouge, LA

About The Position

The Supervisor, Enrollment & Billing oversees the end-to-end operations of an assigned team, including organizing workflow, clarifying duties, monitoring productivity, and providing constructive feedback and coaching. The role manages, guides, and trains employees and ensures operations are productive and support profitability and sustainable growth. It also oversees compliance requirements from federal and state regulatory agencies. The supervisor directly manages employees and reports to the Manager, Enrollment & Billing. The role collaborates with a broad range of internal departments and external parties, including account teams, accounting, claims, compliance, customer service, IT, legal, marketing, providers, agents, brokers, regulators, vendors, and subscribers. The position administers human resources functions for the team and serves as a subject matter expert for assigned end-to-end processes. The supervisor monitors inventory and workload, identifies process and system gaps, supports accurate and timely issue resolution, provides customer service and training, and participates in projects and meetings. For supervisors assigned to the Medicare line of business, responsibilities also include applying CMS standards to enrollment and eligibility work, ensuring accuracy and compliance, resolving discrepancies, and supporting operational and system improvements. The job is performed in a normal, clean office environment with normal noise levels. Work is predominantly performed while standing or sitting. Louisiana residency or relocation is preferred. Applicants must be authorized to work in the United States without employer-sponsored immigration support.

Requirements

  • High school diploma or equivalent is required.
  • At least 3 years of operational experience is required.
  • At least 1 year of demonstrated leadership experience is required; experience requirements may run concurrently.
  • Demonstrated verbal and communication skills, including the ability to interpret and communicate information with tact, diplomacy, patience, and professionalism.
  • Strong organizational and analytical abilities and effective interpersonal skills; ability to identify inconsistencies and gaps in business processes and take appropriate action.
  • Ability to prioritize multiple responsibilities, make decisions, find solutions, work independently to meet aggressive deadlines, and adapt to a fast-paced, changing environment.
  • Ability to coach and develop front-line staff and work cohesively in a team environment.
  • Working knowledge of relevant software, including MS Word, Excel, Outlook, related software, and corporate applications, with the ability to learn new systems.
  • Must complete the recommended BCBSLA Leadership Development Program within 6 months of starting in the supervisor position.
  • Thorough insurance knowledge to apply company policies and procedures, guidelines, and state and federal laws and mandates.
  • Applicants must be authorized to work in the United States without employer-sponsored immigration sponsorship or support.
  • A pre-employment drug screen and background screening are required after an offer is extended and before hire.

Nice To Haves

  • Bachelor's degree is preferred.
  • Enrollment and Billing experience is preferred.
  • Residency in or relocation to Louisiana is preferred.

Responsibilities

  • Administer team HR functions, including hiring, termination, performance reviews, setting performance standards, approving work schedules, assigning and directing workload, training, development, and coaching.
  • For Medicare line of business assignments, follow CMS standards; oversee enrollment and eligibility processes; ensure data accuracy and compliance; resolve enrollment discrepancies; and support system and operational improvements.
  • Serve as the subject matter expert for end-to-end processes and maintain knowledge of relevant lines of business, state and federal laws and regulations, mandates, HIPAA, and company policies and procedures.
  • Lead and provide on-the-job training to the unit.
  • Enter daily inventories into the inventory tracking dashboard and monitor inventory levels so management is informed.
  • Identify system and process functionality gaps that hinder performance, respond to issues, notify appropriate personnel of system problems or equipment failures, and test and approve programming changes.
  • Provide customer service to the assigned area and maintain working relationships with key departments.
  • Facilitate enrollment and billing training as needed or requested.
  • Monitor, track, and assign daily team tasks.
  • Participate in corporate and other projects and attend or facilitate meetings as needed.
  • Monitor vendor outsourcing relationships when applicable to ensure quality standards and service-level agreements are met.
  • Perform other job-related duties within the scope of responsibilities.
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