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Healthcare Enrollment Team Lead
$66k-82k (estimate)
Full Time 7 Months Ago
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Mphasis Digital Risk is Hiring a Healthcare Enrollment Team Lead Near St. Louis, MO

Job Description: Enrollment Supervisor

Summary: Under the supervision of the Director of Plan Analytics, the Enrollment Supervisor is responsible for daily leadership and supervision of the Enrollment Specialists. The Enrollment Supervisor controls the workflow to the Enrollment team and ensures proper and timely completion of tasks. This position also reviews and audits various reports and ensures all Enrollment processes are SOC compliant.

Essential Functions:

· Delegates work to the Enrollment team, tracks progress, evaluates performance and provides constructive feedback

· Approves time cards and PTO requests

· Audits revenue reports to verify accuracy before releasing to accounting

· Ensures SOC compliance with all Enrollment procedures

· Reviews A/R aging reports and works with clients on outstanding balances

· Serves as the liaison between the Enrollment team and upper management

· Guides, trains and supports the team

Additional Functions:

· Communicates clearly and concisely, with sensitivity to the needs of others

· Maintains courteous, helpful and professional behavior on the job; displays a willingness and ability to be responsive in a warm and caring manner to all customer groups; consistently cooperates and supports organization in problem solving issues; ensures customer satisfaction by understanding and applying the Customer Service Policy, Procedure and Standards; will support the success of the entire team; establishes and maintains effective working relationships with co-workers

· Follows all Policies and Procedures and HIPAA regulations

· Maintains a safe working environment

· Maintains the confidentiality of all company procedures, results, and information about participants, clients, providers and employees

  • Establishes and maintains effective working relationships with co-workers

Supervisory Responsibility: Responsible for daily supervision of the Enrollment Specialists

Travel: None

Knowledge, Skills and Abilities:

· Educational requirements include a high school diploma or equivalent. Three years of experience in a healthcare environment, and a working knowledge of Medicare required.

· Current knowledge and understanding of Medicare regulations related to PACE health plan management; two years enrollment experience in PACE strongly preferred

· Knowledge and experience using computerized accounting systems, Excel, Microsoft Word and ten-key efficiency

· Strong knowledge of current computer technology, including the use of computers, printers, computerized file structures and associated software

· Skilled in establishing and maintaining effective working relationships with co-workers and clients

· Skilled in problem resolution; recommends suggestions to increase accuracy and/or efficiency

· Detail-oriented with ability to focus on projects for extended periods

· Ability to serve as a champion for the TRHC 32 Fundamentals

· Ability to work independently, seeking supervision as needed

· Ability to communicate professionally, clearly and effectively, verbally and in writing

· Ability to have superior attendance to effectively fulfill all functions of the position

· Ability to independently follow through on assigned tasks, without prompting

· Ability to prioritize effectively

· Ability to consistently multitask

Physical Demands & Requirements:

  • Communicate by way of the telephone with participants, customers, vendors and staff
  • Operate a computer and other office productivity machinery, such as a calculator, copy machine, fax machine and office printer
  • Remain stationary for extended periods of time
  • Occasionally exert up to 20 pounds of force to lift, carry, push, pull or move objects
  • Visual acuity to perform activities such as identifying, inputting and analyzing data on a computer terminal and/or in hard copy
  • Occasional reaching to retrieve shelved items
  • Occasional bending/stooping

Work Environment:

· No substantial exposure to adverse environmental conditions is expected

· Moderate pressure to meet scheduled appointments and deadlines

· Potential for occasional verbal aggression by clients and vendors

Supervised by: Director of Plan Analytics

Job Type: Full-time

Salary: $60,000.00 per year

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

Application Question(s):

  • What is your contact information? Phone number and email address.

Education:

  • High school or equivalent (Required)

Experience:

  • Medicare: 3 years (Required)
  • enrollment experience in PACE: 2 years (Required)
  • Leadership: 3 years (Required)

Work Location: In person

Job Summary

JOB TYPE

Full Time

SALARY

$66k-82k (estimate)

POST DATE

10/27/2023

EXPIRATION DATE

05/23/2024

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