Patient Benefits Supervisor

Onco360•Houston, TX

4d•$58,000•Onsite

About The Position

Onco360 Pharmacy is seeking a Patient Benefits Supervisor for its Corporate Office in Louisville, Kentucky. This role involves overseeing the process of loading and investigating patient prescription benefits, including demographics, coverage, and authorization requirements. The position requires advanced program knowledge and quality control of team members' work. The shift is Monday-Friday, with some weekends as needed, and hours are 9:30 am-6 pm or 10:30 am-7 pm EST.

Requirements

High School Diploma or GED
Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
4+ years pharmacy or benefit verification experience
Previous leadership experience
Pharmacy insurance and benefit verification
PBM and Medical contracts
knowledge/understanding of Medicare, Medicaid, and commercial insurance
pharmacy test claim and NCPDP claim rejection resolution
coordination of benefits
NDC medication billing
excellent interpersonal skills
able to work with all levels of management and staff
vast knowledge of pharmacy terminology and process including sig codes, and roman numerals, brand/generic names of medication
advanced typing, math and analytical skills
leadership skills
Registration with Board of Pharmacy as required by state law
Independent worker
good interpersonal skills
excellent verbal and written communications skills
ability to work independently
work efficiently to meet deadlines and be flexible
detail-oriented
great time-management skills
leadership

Nice To Haves

Associates or Bachelor’s Degree
Certified Pharmacy Technician (PTCB)
Specialty pharmacy experience
5+ years pharmacy or benefit verification experience
1+ years supervisor experience
Specialty pharmacy experience
Specialty pharmacy operations
independent decision-making abilities
able to conduct research, be resourceful, and self-reliant
excellent communication skills
Certified Pharmacy Technician (PTCB)
Advanced Certified Pharmacy Technician with completion of Billing and Reimbursement certification

Responsibilities

Supervises BV/onboarding staff in a leadership role to maintain a positive working environment by creating synergy and teamwork to minimize employee relations issues and reduce turnover.
Communicates effectively across pharmacy and/or corporate teams and with patients, and successfully resolves issues.
Assists manager in day-to-day pharmacy operations and in implementing new procedures to ensure that the accurate and timely dispensing of quality pharmacy services is consistently delivered to all patients using effective service leadership and customer skills.
Works with pharmacy management to recruit, select, hire, orientate, develop, and train new associates.
On an ongoing basis, evaluates, coaches, and utilizes performance management practices to motivate and set expectations for BV staff.
In collaboration with management, drafts and delivers effective corrective action plans and disciplinary action to technicians performing at substandard levels.
Manages and reports on daily activity of vertical team members, including monitoring of daily workflow and Pulse reporting.
Manage patient authorizations specific to Threshold Override Authorizations (TOA), SNF Letters of Agreement (LOA), and the like.
Monitors and escalates No-Go trends or contract-related claim rejections to Patient Benefits Manager.
Provides ongoing access and training on web tools to the BV/Onboarding team and offers frontline support to address system functionality questions and issues (Ex: provider eligibility portals, copay card portals, applications, etc.).
Communicate to Pharmacy personnel payor benefit programs and policies and ensure all payer types are handled correctly by the team.
Handles escalations for difficult BV cases/questions to ensure accurate and timely completion of BV.
Works with Pharmacy Technician Manager and/or Director of Pharmacy Operations on other responsibilities, projects, implementations, and initiatives as needed.