Team Lead, Provider Enrollment

Duties And Responsibilities

• Aid in resolving issues related to provider application completion and submission.
• Oversee the collection, updating, and maintenance of necessary provider information and documentation.
• Ensure enrollment follow-up with clients and payers is completed within departmental and client parameters.
• Complete provider enrollment applications for both initial and re-credentialing cases in a timely and thorough manner.
• Oversee the verification of provider and group information with insurance companies.
• Coordinate information for the enrollment and termination of all providers and communicate relevant information to the team and clients.
• Collaborate with the department to improve processes and procedures.
• Maintain and update provider enrollment work queues and smart feeds, as well as other provider reports, ensuring they remain current.
• Communicate identified areas of opportunity and trends to the Manager.
• Train and educate the onshore and offshore provider enrollment teams on enrollment processes and required research for accuracy.
• Schedule and conduct training activities for the provider enrollment team.
• Document and record training sessions for future reference.
• Monitor and analyze productivity, providing quality assurance (Q/A) feedback to the offshore provider enrollment staff.
• Provide guidance to offshore provider enrollment staff when needed.
• Identify and address challenges faced by offshore provider enrollment staff.
• Comply with HIPAA standards and maintain confidentiality of patient information.

Qualifications

• High school diploma or equivalent required.
• Four years of provider enrollment experience.
• Knowledge of Microsoft Word, Outlook, Excel, and CAQH Billing preferred.
• Strong organizational skills and the ability to prioritize work.
• Excellent written, verbal, and interpersonal skills.
• Proficiency in Microsoft Office Suite.
• Strong interpersonal skills and the ability to communicate effectively at all levels of the organization.
• Strong problem-solving and creative skills, with the ability to make decisions based on accurate and timely analyses.
• High level of integrity and dependability, with a strong sense of urgency and results-oriented attitude.
• Excellent written and verbal communication skills required.
• A gracious and welcoming personality for customer service interactions.