Team Lead Enrollment and Billing

Duties And Responsibilities

• Oversee front line staff to ensure production deadlines are met, while meeting accuracy and quality standards for member enrollment and billing.
• Approve timecards, overtime and staffing needs for front line staff.
• Aid in developing metrics to report trending, root cause identification, and provide solutions to challenges so they are mitigated and/or eliminated.
• Coach, mentor and develop staff. Take ownership of new employee onboarding.
• Review, approve and, (in partnership with the manager), deliver corrective action plans.
• Ensure compliance with all New York State, Federal, and State Rules and Regulations.
• Update Job Aides and Policies & Procedures when any changes occur and/or based on any regulatory requirements and/or new products or processes are implemented.
• Conduct weekly staff meetings to encourage active communication and dissemination of information.
• Perform one-on-one meetings monthly.
• Ensure the member experience is positive by providing appropriate and expedient resolution to escalated or any identified issues.
• Provide excellent customer service to internal and external stakeholders.
• Ensure staff is working to maximum capacity.
• Report and review production activity. Provide status update on the daily/weekly/monthly team tasks.
• Prepare/submit requested audit data accurately and in a timely manner.

Qualifications

• High School diploma or GED from accredited institution.
• Demonstrated experience in Microsoft Excel creating and editing data.
• Experience creating and editing documents using Microsoft Word.
• Experience leading project teams and independent projects within specific timelines.
• Experience communicating with cross-functional employees within an organization.
• Previous experience as a supervisor of 6 or more direct reports.

Preferred Qualifications

• Experience interpreting data.
• Industry knowledge of Government Sponsored Managed Health Care Plans and/or Enrollment Operations.
• Familiar with MHS, ePaces and potentially MP.
• Experience with Tableau, Power BI data visualization.
• Experience with Medicare, Medicaid and Long Term Care Compliance & Regulatory Responsibilities.

Benefits

Healthfirst offers a full range of benefits including medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements).