Job Description

The provided job description outlines the role of a Team Lead responsible for overseeing a team that performs Benefit Verifications within a Micro-Hub setting. Here's a breakdown of the primary duties, qualifications, and skills required for this position:

Primary Duties and Responsibilities:

  1. Provide Day-to-Day Instructions: Offer guidance and instructions to team members responsible for processing Benefit Investigations.

  2. Coaching and Issue Resolution: Support and coach team members in resolving issues related to the successful completion of benefit investigations.

  3. Performance Monitoring: Monitor the job performance of seasonal employees, ensuring they complete necessary tasks in accordance with client service level requirements.

  4. Production Monitoring: Conduct daily monitoring of employee production to ensure teams meet or exceed performance standards and maintain quality control.

  5. Training Initiatives: Assist in training initiatives to prepare seasonal Reimbursement Specialists to meet performance benchmarks for processing benefit verifications.

  6. Escalation of Issues: Escalate issues as needed following prescribed protocols to the Supervisor.

  7. Training Document Development: Help develop program training documents to facilitate effective training of team members.

  8. Open Communication: Maintain open communication with the staff to address concerns, provide support, and ensure a positive work environment.

  9. Identify Program Issues: Proactively identify program challenges and propose solutions to the Supervisor.

  10. Customer Relations: Maintain positive relationships with both internal and external customers.

  11. Related Duties: Perform any other related duties as assigned.


Experience and Educational Requirements:

  • Experience: At least 2 years of prior experience in a specialty pharmacy, medical insurance, reimbursement hub, physician's office, healthcare setting, or insurance background is preferred.
  • Benefit Investigations: Previous experience in processing benefit investigations in a fast-paced environment is highly desirable.
  • Education: A Bachelor's Degree is preferred but not required.
  • Leadership Experience: Previous supervisory or leadership experience is preferred but not required.
  • Remote Work: Experience in directing a remote workforce is highly desirable.

Minimum Skills, Knowledge, and Ability Requirements:

  • Interpersonal Skills: Strong interpersonal skills are essential.
  • Communication: Ability to communicate effectively both orally and in writing.
  • Supervisory Skills: Ability to grasp and apply supervisory and coaching concepts and best practices.
  • Computer Skills: Ability to learn and use new computer systems in a fast-paced setting.
  • Time Management: Ability to manage multiple tasks and meet deadlines.
  • Microsoft Office: Working knowledge of Microsoft Office.
  • Issue Resolution: Ability to resolve associate issues effectively and efficiently.
  • Escalation: Proven ability to appropriately escalate issues to management.
  • Motivational Skills: Provide a climate for motivation and support.
  • Delegation: Ability to appropriately delegate tasks.
  • Remote Work: Ability to work remotely.

Overall, this job description outlines the responsibilities and qualifications required for the Team Lead position in a Micro-Hub setting focused on Benefit Verifications. It emphasizes the importance of leadership, communication, and problem-solving skills, along with experience in healthcare or insurance-related roles.


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Charlotte, NC

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