Enrollment Team Lead

COMPANY OVERVIEW:

HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. We are transforming the way healthcare is administered by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences.

We live and work with purpose, care about others, act with integrity, communicate with transparency, and don’t take ourselves too seriously.

We're not just about business – we're about people. Our commitment to a people-first approach shapes everything we do, from collaborating as a team to serving our valued clients. We believe that creating a vibrant and human-centric environment can inspire engagement, empower our team members, and ignite a sense of purpose in all that we accomplish.

PURPOSE AND SCOPE:

The Enrollment Team Lead is responsible for assisting in oversight of production for all lines of business at HealthAxis and providing production reports to management on department tasks. The role is also responsible for monitoring employee performance and implementing improvement solutions as well as assisting Enrollment and Operations Leadership in hiring new staff and onboarding.

This position ensures all deadlines and timeframes are met on a daily, weekly and monthly basis. It encompasses the development and implementation of operating policies and procedures which may include enrollment, reconciliation, audits, special projects, and back up support of other lines of business as needed or required.

PRINCIPAL RESPONSIBILITIES AND DUTIES:

• Oversee front line staff to ensure production deadlines are met, while meeting accuracy and quality standards for member enrollment. 

• Assist in developing metrics to report trending, root cause identification, and provide solutions to challenges so they are mitigated and/or eliminated. 

• Assist the Enrollment and Operations Leadership with new employee onboarding. Review, approve and deliver corrective action plans. 

• Ensure compliance with CMS, 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. 

• In absence of the Supervisor, conduct weekly staff meetings to encourage active communication and dissemination of information.  

• Ensure the member/client experience is positive by providing appropriate and expedient resolution to escalated or any identified issues. Provide excellent customer service to internal and external stakeholders. 

• 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. 

• Maintain compliance with HIPAA, CMS, and other regulatory standards.

• Additional duties as assigned. 

EDUCATION, EXPERIENCE AND REQUIRED SKILLS:

• Associate’s degree in Healthcare Administration, Business Administration, Public Health or related field required; Bachelor’s degree preferred.

• 3-5 years of experience in healthcare enrollment, medical insurance billing, claims operations or related field required.

• 1-2 years of experience in a leadership, team lead or supervisory role required.

• Proficiency in enrollment systems, claims processing software, revenue cycle software.

• Knowledge of Medicaid, Medicare, ACA and managed care plans.