Manager, Billing & Collections

Who We Are

ABOUT ENOVIS

Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement global talent and innovation the Companys extensive range of products services and integrated technologies fuels active lifestyles in orthopedics and beyond.For more information about Enovis please visit .

What Youll Do

At Enovis we pay attention to the details. We embrace collaboration with our partners and patients and take pride in the pursuit of scientific excellence with the goal of transforming medical technology as we know it.

Because thats how we change the lives of patients for the better. And thats how we create better together. Why work at Enovis See for yourself.

As a key member of the Revenue Cycle Management you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes.

Job Title:
Manager RCM Billing Operations

Reports To:

Director RCM Operations

Location:
Lewisville Texas

Business Unit:
Revenue Cycle Management

Role Summary:
This role offers the opportunity to support meaningful work in a patient-centered organization dedicated to enhancing mobility and improving quality of life. As Manager of RCM Billing Operations in Lewisville Texas you will work closely with dedicated teams across Accounts Receivable Cash Application Audits and Document Control to ensure accuracy and consistency in financial processes that support our mission. Your responsibilities will include overseeing insurance claim follow-up payer appeals audit submissions patient collections and cash posting while helping to maintain apparent reconciliation and responsible handling of unapplied balances. With a focus on collaboration reliability and continuous improvement this position plays a key role in sustaining both operational integrity and the trust of those we serve.

Key Responsibilities:

This description outlines the general nature and key responsibilities of the position but does not encompass every duty that may be required. Additional responsibilities may be assigned as business needs evolve.

Accounts Receivable and Cash

• Achieves assigned targets for cash collections and unapplied cash reduction.
• Manages offshore vendor performance for end-to-end Revenue Cycle Management (RCM) services.
• Directs the operations of the billing collections and cash applications teams including denial follow-up aged accounts receivables and cash posting activities.
• Plans and directs patient insurance documentation billing and collections and account reconciliation to ensure accurate billing and efficient account collection.
• Partners with RCM Leadership coordinate and resolve difficulties within the department by implementing process changes and/or leading process improvement initiatives reviewing and defining problems suggesting procedural changes when necessary and suggesting courses of action.
• Manages the review and resolution of payment variances and credit balance processes.
• Manages the number of electronic 835 payers and ensures they are set up to post electronically to the patient accounting system.
• Manages the number of payments processed by the bank and transferred via lockbox for posting.
• Ensures accurate denial follow-up and cash posting.
• Submits claims to proper insurance entities and follows up on any issues.
• Partners with Director to act as a liaison between the Finance Team the RCM AR Team the bank and payment processing merchants regarding banking and accounting for the lockbox payments and refund checks.

Audit

• Compiles reviews and evaluates required documentation specific to government and commercial payors.
• Coordinates with various resources contacts and systems to obtain verify and/or submit data.
• Ensures documents for submission are accurate legal and in compliance with the Company and regulatory standards.
• Reviews and verifies various transactions to ensure accuracy and compliance with Corporate and Legal requirements.
• Reviews completed documents against system data to ensure accuracy.
• Interacts with external contacts to coordinate activities related to internal and external audits.

Document Control

• Manages inbound communications which may include medical or other types of charts/files claims faxes emails standard mail or other related communications and mail correspondence whether hard copy voice or electronic.
• Directs and monitors activities related to sorting scanning batching and indexing documents into the imaging system including preparation deletion rescans and batch verification.
• Manages the indexing of scanned documents within the imaging system ensuring names account numbers dates of service and insurance information are accurately assigned to each batch.
• Coordinates scanner maintenance and handles return mail and outgoing correspondence including invoices statements appeals medical record requests and other documents for the RCM Billing teams.

• Currently Enovis does not provide sponsorship for employment visas (e.g. H-1B) and will not offer such sponsorship in the future. Applicants must already have full-time work authorization in the United States both now and in the future without requiring sponsorship.

Minimum Basic Qualifications:

• Minimum of 6 years of Revenue Cycle Management experience required.
• Previous experience managing people required.
• Minimum of 3 years of experience managing an outsource billing/collections vendor required.
• Experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system required.
• Proficiency in processing/auditing claims for Medicare Medicaid and commercial plans required.
• Knowledge of CMS requirements regarding claims processing specifically DMEPOS claim processing rules and regulations required.
• Knowledge of CMS requirements regarding claims processing specifically DMEPOS claim processing rules and regulations required.

Education:

• Bachelors Degree in Accounting Finance Business Administration or related field equivalent required.
• Experience may be considered in lieu of degree.

Travel

• Must be able to travel up to 10% of the time; both domestic and international travel may be required.
• Typical work-related travel assignments range 1-5 days and as such overnight out-of-town stays are required.

Work Environment and Physical Demands

• Typical office environment.
• Physical Demands: May occasionally lift up to 10 pounds. Routinely uses standard office equipment such as computers keyboard phone print. Required to talk and hear. Must be able to sit and stand for extended periods of time and use hands and fingers to handle or feel and to manipulate keys on a keyboard and operate portable input devices (e.g. smart phone mouse). May occasionally reach with hands and arms. Must have the ability to look at a computer screen for extended periods of time.
• Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Creating better together. Its the Enovis purpose and its what drives us and empowers us every day on a global scale. We know that the power to create better for our customers our team members and our shareholders begins with having the best team pursuing common goals operating at the highest levels and delivering extraordinary outcomes.

What does creating better together mean to us at Enovis Discover the why behind our purpose values and behaviors:
Our Enovis Purpose Values and Behaviors on Vimeo

We offer a comprehensive benefits package which includes:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Spending and Savings Accounts
• 401(k) Plan
• Vacation Sick Leave and Holidays
• Income Protection Plans
• Discounted Insurance Rates
• Legal Services

ABOUT ENOVIS
Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement global talent and innovation the Companys extensive range of products services and integrated technologies fuels active lifestyles in orthopedics and beyond. Visit to learn more.

EQUAL EMPLOYMENT OPPORTUNITY
Enovis provides equal employment opportunities based on merit experience and other work-related criteria and without regard to race color ethnicity religion national origin sex age pregnancy disability veteran status or any other status protected by applicable law. We also strive to provide reasonable accommodation to employees beliefs and practices that do not conflict with Enovis policies and applicable law. We value the unique contributions that every employee brings to their role with Enovis.

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EOE AA M/F/VET/Disability Statement

All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race religion color national origin sex protected veteran status disability or any other basis protected by federal state or local laws.