Team Lead, Provider Enrollment
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Team Lead overseeing provider enrollment, credentialing, and re-credentialing for healthcare providers at Med-Metrix. Training offshore teams, monitoring quality, and ensuring HIPAA-compliant enrollment operations.
Responsibilities:
- Train and oversee offshore provider enrollment team members
- Assist the provider enrollment manager with credentialing and enrolling new and established healthcare providers
- Oversee issue resolution for provider education, application completion, and submission
- Ensure collection, updating, and maintenance of provider information and documentation
- Ensure enrollment follow-up with clients and payers is completed within departmental and client parameters
- Complete initial provider enrollment and re-credentialing applications accurately and on time
- Verify provider and group information with insurance companies
- Coordinate provider enrollment and termination information and communicate with teams and clients
- Contribute collaboratively to departmental processes and procedures
- Monitor provider enrollment work queues, smart feeds, and provider reports; communicate opportunities and trends to the Manager
- Organize, schedule, conduct, and document onshore and offshore team training
- Monitor and analyze productivity and perform quality assurance for the offshore team
- Provide timely feedback on quality assurance results
- Identify challenges among offshore staff and provide guidance
- Protect and disclose PHI in accordance with HIPAA standards and comply with Information Security and HIPAA policies
Requirements:
- High School graduate or equivalent required
- 4 years of provider enrollment experience
- Knowledge of Microsoft Word, Outlook, Excel, and CAQH
- Proficiency in Microsoft Office Suite
- Strong interpersonal skills and ability to communicate well at all levels of the organization
- Strong problem-solving and creative skills, with the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results orientation
- Excellent written and verbal communication skills required
- Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
- Ability to follow directions, collaborate with others, handle stress, and perform the stated physical demands
- Billing knowledge and experience preferred
Similar Jobs
Publishing Team Lead
Publishing Team Lead leading managers and scaling CrazyLabs’ mobile games. Improving retention, monetization, and player experience through data-driven product strategy.
Field Service Team Lead
Field Service Team Lead leading engineers who install, repair, and support Biosense Webster cardiovascular systems. Field-based role serving hospitals across the eastern United States.
Field Service Team Lead
Field Service Team Lead leading engineers who install, repair, and support Biosense Webster cardiovascular equipment. Field-based role serving customers across the eastern United States.
Outbound Team Lead
Outbound Call Center Team Lead overseeing remote outreach agents for Compass Experience Labs’ digital health rewards campaign. Coaching performance, ensuring HIPAA compliance, and driving mobile app registrations.
Claims Suspense Team Lead
Claims Suspense Team Lead supporting Gainwell Technologies’ California Medi-Cal claims operations. Guiding examiners and monitoring suspended-claims workflow, quality, productivity, and turnaround times.
Team Lead – BPO, Dutch
BPO Team Lead managing Dutch-speaking sales agents and KPI performance for WorkNomads’ global remote talent community. Coaching teams, resolving escalations, and improving contact-center operations.
Clinical Data Team Lead
Clinical Data Team Lead overseeing data management for clinical trials at Thermo Fisher Scientific. Leading project documentation, reporting, training, client liaison work, and junior staff mentoring.
Team Lead, Enterprise Service Desk
Enterprise Service Desk Team Lead providing advanced troubleshooting, analyst coaching, and Tier 3 escalations. Monitoring SLAs and resolving client incidents for an IT services organization.
Post Closing Investor Team Lead
Post Closing Investor Team Lead managing mortgage loan purchase conditions and investor escalations. Leading post-closing operations for CrossCountry Mortgage, a distributed retail mortgage lender.
Bodily Injury Claims Team Lead
Bodily Injury Claims Team Lead leading commercial transportation claims operations at Reserv. Overseeing adjusters, escalations, analytics, training, and client loss-mitigation reporting.
Team Lead – System Studies
Power system studies team lead guiding engineers, technical standards, and utility projects. NEI delivers electrical engineering services for utilities and renewable energy clients.
Claims Team Lead – Workers Compensation
Workers compensation claims team lead supervising examiner teams and claim adjudication for Sedgwick, a global claims management company. Providing California jurisdictional direction, quality oversight, and client support.
Migration Team Lead
Migration Team Lead driving DoD ICAM onboarding of 600 NIPRNet applications. Leading Okta, SailPoint, integration, UAT, and Zero Trust enablement operations.
Epic Radiant Team Lead
Epic Radiant Team Lead guiding analysts, stakeholders, and Radiant implementations. Prominence delivers healthcare IT staffing, advisory, and analytics solutions for healthcare organizations.
Team Lead, Marketplace Ordering – Trade
Team Lead scaling Havenly’s home-furnishings ordering and trade CX operations. Coaching teams, improving workflows, and driving post-purchase sales performance.
Digital Solutions Team Lead
Digital Solutions Team Lead supporting Solventum’s digital healthcare solutions and customer support operations. Coaching representatives, resolving escalations, monitoring metrics, and driving process improvements.
Enterprise Technical Team Lead
Enterprise Technical Team Lead securing client Azure and endpoint environments for F12’s managed services. Leading incident response, escalations, technician coaching, and continuous operational improvement.
Escrow Team Lead
Escrow Team Lead managing mortgage servicing escrow operations for LoanCare. Overseeing vendors, reporting, transfers, tax data, staff training, and special projects.
Claims Team Lead – Cargo
Cargo Claims Team Lead overseeing Commercial Transportation claims operations for Reserv, an AI-powered insurtech TPA. Coaching adjusters, handling escalations, and driving technology-enabled efficiency.
Team Ranger, Lead - L2
Microsoft Teams support lead troubleshooting M365 collaboration, voice, federation, identity, and networking issues. Supporting enterprise customers remotely from India.