Supervisor, Patient Access

Responsibilities

• Trains staff on the functions including but not limited to enrolling patients, understanding accounts receivable, and patient’s balance.
• Teaches staff on how to verify patient pharmacy coverage & processing information.
• Manages patient claims for prescription drug and medical benefits in relation to providing excellent specialty pharmacy care.
• Communicates with the Insurance Resolution Specialist team to assure patients are being appropriately charged and insurance companies are being appropriately billed.
• Aids in hiring and training to ensure the associate’s success in the job function.
• Supports management with regularly scheduled training classes with staff to ensure staff is abreast of all new therapies, drugs, and any new changes.
• Assists with additional projects and activities, assigned.
• Opens communication within all departments and provides feedback to ensure positive results for patients, payors and PANTHERx.
• Works with Management to identify any negative margins at a drug/patient/payor level regarding adjudicated and non-adjudicated claims.
• Attends staff meetings and on occasion may lead a staff meeting.
• Performs other duties as assigned.

Requirements

• High school diploma or general education degree (GED).
• Strong written and verbal communication skills necessary to convey ideas professionally and effectively.
• Ability to understand and act on basic business principals of AR.
• Prioritization of daily tasks and focus on company goals.
• Ability to multitask.
• Proficient with EDS billing systems, Excel and Word.
• Minimum 6 years’ experience with medical and prescription insurance authorization.
• Licensure Required: N/A.

Qualifications

• Experience or knowledge within the healthcare industry, particularly mail order or specialty pharmacy.
• Experience with CPR+.

Benefits

Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program!

Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees. Of course we offer paid holidays too!

Equal Opportunity

PANTHERx Rare Pharmacy is an equal opportunity employer, and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.