Authorization Home Infusion Supervisor

Ais Healthcare • Gainesville, FL

105d • Remote

About The Position

Advanced Infusion Care, a division of AIS Healthcare, is the leading provider of Home Infusion Therapy. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience. The perfect candidate should have outstanding communication and time management skills, extreme attention to detail and accuracy, have in-depth knowledge of insurance benefit verification, and work in compliance with Federal and State rules and regulations.

Requirements

• High school diploma or general education degree (GED) equivalent is required.
• Bachelor's degree preferred or equivalent combination of experience and education.
• Minimum of 3 years of experience in customer service, intake, medical billing and coding, insurance verification, healthcare, or similar vocations, preferably in the home infusion field required.
• 1-3 years of supervisory experience in all aspects of business office functions in a healthcare setting required.

Nice To Haves

• Extensive knowledge of insurance carriers including, major medical benefits, PBM's and per diem coverage as well as knowledge of government and patient assistance programs.
• Proficient in the use of Microsoft Office products.

Responsibilities

• Supervises, plans, organizes and directs the daily activities of the department.
• Documents, monitors and evaluates the performance of staff members to ensure compliance with operating procedures and standard practices.
• Provides leadership, oversight, and technical guidance to employees and assists to resolve difficult cases.
• Coaches and mentors employees to ensure expectations and goals are met.
• Documents and delivers real time performance feedback to employees.
• Conducts formal monthly feedback with employees to discuss performance and improvement opportunities.
• Creates and administers employee annual reviews.
• Performs regular team meetings to discuss updates and/or program changes.
• Manages and documents personnel issues.
• Administers disciplinary action when applicable.
• Responsible for adhering to the quality, production, and turnaround standards associated with the department and/or assigned program.
• Trains new and existing associates in the use of pharmacy software system, supplemental applications, job responsibilities, and departmental workflow.
• Identifies deviations from training and/or processes during normal work activity.
• Tracks daily reporting of hours worked and time off through the company time-keeping system.
• Participates in the interviewing, hiring and onboarding of new employees.
• Collaborates with management with day to day staffing/scheduling and other personnel/HR concerns.
• Responds to patient inquiries, requests and issues when situations get escalated to a higher level of authority.
• Establishes, maintains and promotes strong professional relationships with internal and external parties.
• Communicates and collaborates with other departments, including nursing, pharmacy and sales.
• Participates in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain specified level of knowledge pertaining to new developments, requirements, and policies.
• Makes suggestions and recommendations to management in an effort to continually improve the operation.
• Complies with and adheres to all regulatory compliance areas, policies and procedures and company best practices.
• Creates corrective and preventative action reports when necessary.
• Works together as a team in support of all departments.
• Serves as the back-up and support of the manager as needed.
• Recognizes patients' rights and responsibilities and supports them in the performance of job duties; respects patient's rights to privacy and confidentiality.
• Maintains a thorough understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
• Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
• Shares knowledge gained with other staff members and works as a team member.
• Interacts with others in a positive, respectful, and considerate manner.
• Performs other job related duties as assigned.

Benefits

• Health, vision and dental insurance.
• Long term disability insurance.
• Life insurance.
• Vacation package.
• 401K plan with a generous employer match.
• Remote work from home opportunity.
• Growth opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED