Pharmacy Benefit Verification Supervisor

Onco360•New Hyde Park, NY

6d•Hybrid

About The Position

Onco360 Pharmacy has a need for qualified candidates to fill our role of Pharmacy Benefit Verification Supervisor. This is an excellent opportunity to join our company and help with our expanding Specialty Pharmacy program! Full time hours, Monday to Friday - from 11:30am to 8pm EST. Must be within commuting distance to our New Hyde Park pharmacy location. Remote work available after initial training period. Salary starting at $68k and up depending on experience.

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
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.
Maintains a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws.
Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.