Program Support Supervisor
About The Position
A career with us is more than just a job. It’s an opportunity to connect and care for our patients, providers, communities, and each other. We attract extraordinary people who have a strong desire to live our mission – to better the lives of those battling rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. We offer competitive compensation and great benefits including: Medical; Dental; Vision 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits – life; and short and long-term disability
Requirements
- Associates Degree or equivalent program from a two- year college or technical school, or certificate program in pharmacy and/or healthcare, required.
- Minimum of 2 years’ pharmacy experience
- Registration/Certification with Board of Pharmacy as required by law
- Ability to organize and plan the activities of team, delegate appropriately, provide superior level of customer service, and computer experience to include accounting and billing software.
- Must be a team player.
- Superior level of customer service as well as understanding the department operations.
- Maintain HIPAA patient confidentiality.
Nice To Haves
- Pharmacy Technician Certification (PTCB), preferred.
- 1-3 years’ experience in Health Care Management, preferred.
Responsibilities
- Manages the verification of current coverage with third party payers and obtains authorization as needed.
- Help with the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, and claims adjustments.
- Ensure that all prescriptions are billed in accordance with Medicare/DMEPOS regulations and that all required information is documented on the hardcopy prescription.
- Communicates as required with client/patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about billing.
- Communicates as required with manufacturer sales representatives.
- Coordinates and participates in conference calls with manufacturer partners when requested.
- Oversee record keeping so that all information is accurate and complete and manages the flow of up-to-date information between billing department and other parts of the Company, such as the accounts receivable, accounts payable and customer service departments.
- Generates and analyzes reports.
- Assists with developing, reviewing, and suggesting changes to prescription fulfillment department policies and procedures as needed.
- Ensures ongoing compliance with all laws and regulations; ensures the department meets or exceeds accreditation standards; and implements ‘best practices’ in all departmental activities.
- Delegates authority when necessary to ensure that all responsibilities of this position are fulfilled in a timely and accurate manner.
- Help with the completion of pharmacy and medical cases when needed.
- Assists with managing and training staff in benefits investigations.
- Monitors daily calls/cases/chats.
- Other duties as assigned.
Benefits
- Medical
- Dental
- Vision
- 401k with a match
- Paid Time Off
- Paid Holidays
- Tuition Reimbursement
- Company paid benefits – life
- short and long-term disability
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
