Enrollment Specialist Lead

Job ID: 16253
Functional Area: Human Resources
Position Type: Full Time
Experience Required: 3 - 5 Years

Location: Birmingham, AL
Department: ENR-Enrollment
Education Required: High School Diploma or GED
Relocation Provided: No

Position Description:
GENERAL SUMMARY

Work involves assisting and performing a variety of functions for both Enrollment Specialist and Insurance Verification staff by
assessing patient needs and eligibility for health care services, collecting and recording patient information, and providing information
and services to patients. Contacts patient or responsible party to obtain missing or incomplete demographic or insurance information.
Verifies insurance through electronic processes; Contacts insurance company to obtain eligibility and verification of covered and non-covered services for scheduled appointments.
The Enrollment Specialist Lead demonstrations exceptional organizational, task delegation, time management, grammar,
proofreading, and proficiency in writing along with interpersonal customer service skills. This role develops standard operating
procedures, workflow processes and leads special projects. Ensures that department goals are met, reports on department metrics,
and identifies training opportunities. Additionally, this role is knowledgeable of Healthcare EHR systems and verification of insurance
coverage for Medicare, Medicaid, and commercial insurance payers.

KEY RESPONSIBILITIES

 Leads, supports, and provides guidance for Enrollment Specialist and Insurance Verification staff while providing exceptional
customer service. 
Address and resolve patient complaints in real time.
 Assign and direct the department’s workload.
 Develops standard operating procedures, workflow processes and leads special projects.
 Identify and communicate organizational development needs, while providing solutions to management.
 Develop Productivity Metrics, setting achievement goals for staff members.
 Provide assistance in workflow to ensure department needs are met. 
Ensures accurate and efficient processing of applicants applying for Indigent assistance.
 Assists patients and staff timely and in a clear, helpful manner while providing exceptional customer service.
 Collects, records, and update patient information in EMR System such as patient demographics, financial information,
verifying insurance(s), payor plans, eligibility, effective/expiration dates, co-payments, PCP, and other specified information.
 Schedule patients for their yearly appointments, prints out appointment reminder along with documents needed for the
appointment.
 Explain financial requirement to patients or other responsible party.
 Research patient accounts when requested by supervisor or manager, taking appropriate actions.
 Maintain appropriate databases, manuals, logs, files, and other required documentation; demonstrate an understanding for
patient confidentiality.
 Proactively shares new information related to enrollment, demographic or insurance updates with all appropriate areas and
team members.
 HIPPA compliant to ensure confidentiality and integrity.
 Other duties as assigned by the supervisor

Position Requirements:
MINIMUM QUALIFICATIONS

Required: 
3 Years’ experience in Insurance Verification, Healthcare Registration and Customer Service.
 Knowledgeable of Healthcare EHR systems and verification of insurance coverage for Medicare, Medicaid, and
commercial insurance payers.
 Exceptional organizational, task delegation, time management, grammar, proofreading, proficiency in writing, and
interpersonal customer service skills.
 Position requires a high school diploma or equivalent.
Preferred: Bilingual ability. 5 Years’ experience in Insurance Verification, Healthcare Registration and Customer Service.

WORK ENVIRONMENT

 Office Setting
 The work location for this role is onsite
 This role may require lifting up to 50 lbs.