Amerita
OverviewThe Benefit Investigation Supervisor will monitor and provide staffing direction in their specific workflow vertical. They are responsible for oversight of activities relating to the proper loading and investigation of patient prescription benefits, including but not limited to medical and pharmacy coverage, investigation of authorization requirements needed to obtain medical coverage, as well as obtaining patient copay card assistance based on program eligibility criteria. This role requires advanced program knowledge of benefit verification, prior authorization, and claims adjudication, and will provide quality control by routinely examining cases completed by team members, reviews of No-Go trends, and operations process reviews pertaining to patient benefits.
Schedule:
Monday - Friday
8:30am - 5:00pm cst
• High-quality, affordable benefits for all Full-time and Part-time Employees
• Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
• Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
• 401(k) Retirement Plan with Employer Match
• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
• Employee Discounts
• Tuition Reimbursement
• Paid Time Off & Holidays
Responsibilities Supervises BI staff in a leadership role to maintain a positive working environment by creating synergy and teamwork to minimize employee relations issues and reduce turnoverCommunicates effectively across pharmacy and/or corporate teams and with patients, and successfully resolves issuesAssists 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 skillsManages and reports on activity of vertical team members, including managing of daily workflow and productivity trendsMonitors and validates adherence to Policies and Procedures within the BI team, auditing as necessary to ensure productivity and performance to goals are accomplished or exceededReviews Gold Standard Initiative operational process and workflow queues to find opportunities to enhance intake process and coordinate with Director of Pharmacy Operations to approve and roll out changes/ updatesManages communication, assignments, process updates and feedback for any off-site team in the benefit investigation queuesKnowledgeable to perform all Benefit Investigation functions and resolves escalations regarding difficult cases. Provides thorough, accurate and timely responses to requestsMaintains a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality lawsContributes to team effort by accomplishing related tasks as needed and other duties as assignedConducts job responsibilities in accordance with standards set out in 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 Qualifications High School Diploma/GED, previous experience in pharmacy, medical billing, or benefits verificationRequired 4+ years pharmacy experience, 1+ years supervisor experienceExcellent interpersonal skills, able to work with all levels of management and staff, vast knowledge of pharmacy insurance and benefit verificationAbility to multitask in a demanding environmentExcellent organizational skills and mindfulness About our Line of Business Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visit www.ameritaiv.com. Follow us on Twitter and LinkedIn. Salary Range USD $65,000.00 - $75,000.00 / Year Options Apply NowApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed iCIMS Application FAQs
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