Team Leader
CurrentThe Provider Enrollment Lead is responsible for training and overseeing offshore team members, assisting the manager in credentialing new and established healthcare providers, and ensuring adherence to departmental policies and procedures. ResponsibilitiesAssist in resolving issues related to the provider education process, including application completion and submissionAid in collecting, updating, and maintaining necessary provider information and documentationSupport the completion of enrollment follow-ups by clients and payers within specified parametersEnsure timely and thorough completion of both initial and recredentialing applicationsHelp verify provider and group information with insurance companiesFacilitate the organization of information for the enrollment and termination of all providers, and communicate with the team and clients as neededCollaborate with the manager and monitor work queues, smart feeds, and other reports, identifying areas for improvementSchedule and conduct training activities for the onshore and offshore team related to enrollment follow-upsDocument and record training sessions for future referenceProvide timely feedback to offshore provider enrollment staff regarding QA processes and resultsIdentify challenges faced by offshore and offer guidance when needed