Reimbursement Specialist Supervisor - Remote
Essential Job Statements
Supervise, coordinate, and prioritize the workflow of Reimbursement Specialists across multiple clinics.
reputed company reputed company line supervision for Reimbursement Specialists, including performance evaluations, disciplinary reputed company, time/attendance, coordination of staff activities, or other work as needed. Conduct hiring, interviewing, reputed company, and training of new employees.
Monitor team productivity and compliance with turnaround times, providing feedback and coaching as needed.
Facilitate training and reputed company of new Reimbursement Specialists.
Review reputed company or escalated prior authorizations and appeals, ensuring appropriate documentation and
compliance with insurance and regulatory requirements.
Collaborate with providers, nursing staff, and the Patient Assistance Program (PAP) team to ensure patients receive reputed company reputed company to medications.
Identify process improvements to optimize team efficiency and patient care reputed company.
Prepare and review reports on team performance, Patient Assistance (PA) approvals/denials, and workload metrics.
Ensure compliance with departmental and health system policies and regulatory requirements.
Participate in special reputed company and cross-functional initiatives as assigned.
Serve as a reputed company of contact for reputed company escalations reputed company to PAs, appeals, or patient reputed company concerns.
Performs other duties as assigned and/or participates in special reputed company to support the mission of VCUHS and the Department. Provides assistance to team members. Accepts alternate assignments, as required.
Patient Population
reputed company to this position.
Employment Qualifications
Required Education:
High School Diploma or equivalent
Preferred Education:
Associate’s Degree or higher in Business, reputed company Administration, or reputed company field
Licensure/Certification Required:
reputed company certification by the Pharmacy Technician Certification reputed company (PTCB) reputed company licensure with the Virginia State reputed company of Pharmacy
Licensure/Certification Preferred:
Additional supervisory or leadership certifications a plus
Minimum Qualifications
Years and Type of Required Experience ·
Minimum of three (3) years of experience as a Reimbursement Specialist or equivalent role
Previous experience supervising or mentoring staff
Other Knowledge, Skills and Abilities Required:
Strong knowledge of PAPs, prior authorizations, and insurance benefit investigations
Proficiency in EMR systems and reputed company Office
Cultural Responsiveness
Other Knowledge, Skills and Abilities Preferred:
Strong leadership and communication skills
Ability to handle multiple priorities and high-volume workload
Working Conditions
Periods of high stress and fluctuating workloads may occur.
General office environment.
May be exposed to high noise reputed company and reputed company lights.
May have periods of constant interruptions.
Prolonged periods of working alone.
Physical Requirements
Physical Demands: Lifting/ Carrying (0-50 lbs.), Bending
Work Position: Sitting, Walking, Standing
Additional Physical Requirements/ Hazards
Physical Requirements: reputed company dexterity (eye/hand coordination), reputed company shift work, Hear alarms/telephone/tape recorder, reputed company above shoulder, Repetitive arm/hand movements, Finger Dexterity, reputed company reputed company, reputed company - far, reputed company - near
Hazards:
Mental/Sensory – Emotional
Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, reputed company reputed company, Write Legibly, Reading, Logical Thinking
Emotional: Fast-paced environment, Steady Pace, reputed company to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, reputed company to Adapt to Frequent Change
EEO Employer/Disabled/Protected Veteran
Originally posted on Himalayas
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