Program Support Supervisor

This position can be fully remote.

About the role

ConnectMed360 is seeking a Program Support Supervisor to grow with us! We attract extraordinary people who have a strong desire to live our mission — to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion.

Responsibilities

• Manages the verification of current coverage with third party payers and obtains authorizations as needed.
• Helps with the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, and claims adjustments.
• Ensures 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.
• Oversees 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.
• Helps 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.
• Conducts job responsibilities in accordance with the 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.

Requirements

• Associate’s Degree or equivalent from a 2-year college or technical school, or certificate program in pharmacy and/or healthcare
• Minimum of two years’ pharmacy experience
• Registration/Certification with Board of Pharmacy as required by law

Qualifications

• 1 to 3 years’ experience in Healthcare Management (preferred)
• Certified Pharmacy Technician (PTCB) (preferred)

Skills

• 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

Benefits

• Medical, Dental, Vision
• 401k with a match
• Paid Time Off and Paid Holidays
• Quarterly Incentive Bonuses
• Tuition Reimbursement
• Company paid benefits – life, and short and long-term disability

Pay

Starting salary: $65K and up depending on experience

Schedule

Monday–Friday, 8:00am–5:00pm CST