Patient Enrollment Specialist Team Lead - Transitions of Care 100% Remote Carebridge

Elevance Health • Nashville, TN

89d

About The Position

The Patient Enrollment Specialist Team Lead is responsible for providing technical direction, guidance, and resources to claims, customer service, or membership associates on a day-to-day basis. This role serves as a first line resource for operation associates for workflow and technical related processes; provides operational training; assists associates by answering day-to-day technical questions; encourages a teamwork environment; monitors metrics to ensure workflow remains uninterrupted; handles complex case research and resolution; reviews, interprets and maintains records of service level, quality, accuracy, and productivity; reviews department policy and procedure manuals for accuracy; works with training department to ensure procedures and policies are accurate and complete. Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to members. Additional expectations include being proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work on the weekends as necessary.

Requirements

• Requires HS diploma or equivalent.
• Minimum of 5 years related experience.
• Minimum of 3 years of experience and expertise with company relevant automated processing systems.
• Previous leadership experience preferred.
• Strong oral, written, and interpersonal communication skills.
• Problem-solving skills, facilitation skills, and analytical skills.

Responsibilities

• Provide technical direction and guidance to claims, customer service, or membership associates.
• Serve as a first line resource for operation associates for workflow and technical related processes.
• Provide operational training and assist associates with day-to-day technical questions.
• Encourage a teamwork environment and monitor metrics to ensure uninterrupted workflow.
• Handle complex case research and resolution.
• Review, interpret, and maintain records of service level, quality, accuracy, and productivity.
• Review department policy and procedure manuals for accuracy.
• Work with training department to ensure procedures and policies are accurate and complete.

Benefits

• Merit increases.
• Paid holidays.
• Paid Time Off.
• Incentive bonus programs.
• Medical, dental, and vision benefits.
• Short and long term disability benefits.
• 401(k) with match.
• Stock purchase plan.
• Life insurance.
• Wellness programs.
• Financial education resources.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees