Program Support Supervisor
About The Position
ConnectMed360 is seeking a Program Support Supervisor to supervise the accuracy and timeliness of the program’s billing function, prescription fulfillment process, and pharmacy and medical benefits investigations. The role supports a program serving community, oncology, and hematology physicians, patients, payers, and manufacturers. The position is fully remote and is scheduled Monday through Friday, 8:30 a.m. to 6:00 p.m. EST. The starting salary is $65,000 and up, depending on experience. The supervisor oversees billing and benefits investigation activities, supports staff training, monitors daily calls, cases, and chats, and helps ensure compliance with applicable laws, regulations, accreditation standards, company policies, and professional standards. The role also coordinates with patients, manufacturers, and internal departments and contributes to improving prescription fulfillment policies and procedures.
Requirements
- Associate’s degree or equivalent from a two-year college or technical school, or a certificate program in pharmacy and/or healthcare.
- Minimum of two years of pharmacy experience.
- Ability to organize and plan team activities, delegate appropriately, and provide a superior level of customer service.
- Computer experience, including accounting and billing software.
- Must be a team player.
- Registration or certification with the Board of Pharmacy as required by law.
Nice To Haves
- One to three years of experience in healthcare management.
- Certified Pharmacy Technician (PTCB).
Responsibilities
- Manage verification of current coverage with third-party payers and obtain authorizations as needed.
- Help resolve billing issues, including claim resubmissions to all payers, coverage changes, and claim adjustments.
- Ensure prescriptions are billed in accordance with Medicare/DMEPOS regulations and required information is documented on hardcopy prescriptions.
- Communicate with clients and patients about billing issues, financial hardship assistance application results, and other billing inquiries.
- Communicate with manufacturer sales representatives as required.
- Coordinate and participate in conference calls with manufacturer partners when requested.
- Oversee record keeping to ensure information is accurate and complete, and manage the flow of up-to-date information between the billing department and other company departments, including accounts receivable, accounts payable, and customer service.
- Generate and analyze reports.
- Assist with developing, reviewing, and recommending changes to prescription fulfillment department policies and procedures.
- Ensure ongoing compliance with laws and regulations, that the department meets or exceeds accreditation standards, and that best practices are implemented in departmental activities.
- Delegate authority as necessary to ensure position responsibilities are fulfilled accurately and on time.
- Help complete pharmacy and medical cases when needed.
- Assist with managing and training staff in benefits investigations.
- Monitor daily calls, cases, and chats.
- Perform other duties as assigned.
- Conduct job responsibilities in accordance with the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Benefits
- Medical, dental, and vision benefits.
- 401(k) with a company match.
- Paid time off and paid holidays.
- Quarterly incentive bonuses.
- Tuition reimbursement.
- Company-paid life insurance and short- and long-term disability benefits.
- Growth opportunities.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
