This site uses cookies. To find out more, see our Cookies Policy

EDI Enrollment Team Lead in Brentwood at Parallon

Date Posted: 5/22/2019

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

Electronic Data Interchange Enrollment Team Lead

Job Summary – The Electronic Data Interchange (EDI) Enrollment Team Lead is responsible for the training, support, day-to-day workflow, analyzing and trending data, and inventory management of the EDI Enrollment staff. This includes coordination with the department manager to ensure standards are met in accordance with department and organization policy. Additionally, this team member contributes to improving the processes and infrastructure of the department. Proficient in facilitation and interpersonal communication, this team member also consistently demonstrates skills in organization, prioritization, professionalism and coaching others.

– EDI Enrollment Manager

Supervises – none

Duties (included but not limited to)
•Help ensure compliance with company and departmental policies and procedures
•Assist team members with questions and concerns
•Develop and maintain educational and protocol materials
•Train new team members
•Train team members with new processes and procedures
•Work as a liaison between team members and other departments
•Monitor inventories and coordinate workflow to ensure department responsibilities are worked and resolved timely
•Perform root cause analysis, identify potential resolution, and escalate to management
•Provide coverage as needed to appropriately manage department inventory and to meet team benchmarks and service level
•Help ensure department productivity and quality benchmarks are met
•Perform ad hoc quality reviews and audits as requested by management
•Complete special projects as assigned by management
•Communicate appropriately with department manager
•Assist manager with developing team goals and action plans
•Maintain working knowledge of workflow, systems, and tools used in the department
•Assist in creation and maintenance of a positive working environment, including effective communication and setting an appropriate professional example
•Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
•Other duties as assigned 

Knowledge, Skills, and Abilities
•Organization - proactively prioritizes needs and effectively manages resources
•Communication - communicates clearly and concisely, verbally and in writing, utilizing proper punctuation and correct spelling
•Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
•Interpersonal skills - able to work effectively with other employees, patients, and external parties
•PC skills - demonstrates proficiency in Microsoft Office applications and others as required
•Leadership - guides individuals and groups toward desired outcome by providing training, advice, and feedback to assist/support employees in achieving established performance standards
•Tactical execution - assist in monitoring operational processes and making recommendations for changes/adjustments as needed during the implementation or change to new products or processes
•Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures, and systems
•Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes; able to work quickly and accurately in a fast-paced environment while managing multiple demands; able to work both independently and collaboratively as a team player; demonstrates adaptability, analytical and problem solving skills, and attention to detail; and able to perform basic mathematical calculations, balance and reconcile figures, and transcribe accurately

High school diploma or GED required

Minimum one year related healthcare experience required, such as enrollment for electronic claims submission, remittance, money transfers, professional electronic medical billing through clearinghouse, paper medical billing, insurance follow-up, and medical payment posting. Prior experience reading and interpreting Explanation of Benefits (EOB) preferred


Physical Demands / Working Conditions– Requires prolonged sitting/standing, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or hospital setting. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.

OSHA Category– The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid, or to be potentially exposed in some other way.