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Team Lead, Enrollment and Billing
2 months ago
Healthfirst is a provider-sponsored health insurance company that serves more than 1.2 million members in downstate New York. With more than 4,000 employees, a network of nearly 30,000 providers, and revenues in excess of $8.6 billion, Healthfirst is one of the largest health plans in the New York City area.
Our members are our North Star, and our mission is guided by their needs and preferences in ensuring a superior experience and access to the highest quality healthcare when and where they need it. Healthfirst's commitment to quality and member satisfaction has helped us earn top ratings for HMO health plans in New York City. We know that employees shape our company and connect us to our communities, and we look to recruit and retain intelligent, driven leaders who are passionate about healthcare and embody our five culture drivers:
Dream Big, Plan Wisely
Break Down the Walls
Think Critically, Speak Up, Deliver with Pride
Inspire Through Trust, Lead By Example
Be Unstoppable
Position
Summary:
The Team Lead, Enrollment & Billing is responsible for overseeing production for a defined line of business at Healthfirst. The Team Lead, Enrollment & Billing is directly responsible for supervising non-exempt employees, monitoring attendance, approving time cards of the staff 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 hiring new staff and onboarding.
This position ensures all deadlines and time frames are met on a daily, weekly and monthly basis. It encompasses the development and implementation of operating policies & procedures which may include enrollment, billing, reconciliation, audits, special projects, and back up support of other lines of business as needed or required. The incumbent is responsible for reporting on line of business metrics such as member invoicing and collections (including monitoring production standards and making sure all deadlines are met timely and accurately).
Healthfirst is an Equal Opportunity Employer and does not discriminated against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity or expression, veterans, disability status or any other characteristic protected by law.
Responsibilities
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.
Assist 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.
Additional duties as assigned.
Qualifications
Minimum
Qualifications:
High School diploma or GED from accredited school.
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 analyzing data.
Experience managing a team of 18 or more employees.
Industry knowledge of Government Sponsored Managed Health Care Plans and/or Enrollment Operations.
Familiar with MHS, CCMS, ePaces and potentially MP.
. Apply nowEstimated Salary: $20 to $28 per hour based on qualifications.
