Supervisor, Insurance Analyst
Supervisor, Insurance Analyst
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Salary Not Disclosed
1 Vacancy
Job Description
The Supervisor Insurance Analyst provides leadership support and supervision for the Insurance Analyst team . This individual is a subject matter expert on commercial pharmacy major medical and government insurance plans prior authorizations appeals and alternate coverage referrals. The supervisor ensures that all day to day activities of the team operate smoothly and seamlessly to provide the best customer experience for physician offices and ultimately patients. This position is responsible for ensuring all performance metrics workload deliverables and customer services activities are completed in alignment with a high touch business model.
- Supervise and oversee insurance analysts responsible for verifying new patient insurance benefits and handling claim rejections. Work proactively with staff and cross-functional groups to develop creative
- Partner with Leads to monitor work flow and adjust workload and staffing requirements to ensure that all activities are addressed in a timely and efficient manner.
- Monitor calls and perform case reviews to ensure accuracy of information adherence to policies and excellent customer service. Provide additional coaching and training to individuals as needed. Meet regularlywith direct reports to provide direct feedback on their performance and progress against goals. Responsiblefor writing and communicating performance reviews.
- Perform administrative tasks such as work hour scheduling attendance monitoring and counseling vacationrequest scheduling and overtime scheduling. Participate in the hiring process and handle all employee issuesfor their direct reports.
- Use effective coaching and management techniques to maintain a highly motivated and interactive work staff.
- Meet or exceed department standards relative to performance metrics. Take responsibility and accountabilityfor the day-to-day execution of tasks and is responsible for providing periodic progress reports on goals andmetrics. Provide activity metrics status updates and local payor intelligence information to management perestablished guidelines. Elevate issues as appropriate.
- Consistently build and maintain collaborative relationships cross-functionally to ensure a seamless customerexperience for patients and physicians.
- Identify process improvements to increase operational efficiencies and develop action plan for execution. Assist with the implementation of new projects and products within the Pharmacy.
- Understand and comply with all required training including adherence to applicable federal state and localpharmacy laws HIPAA and privacy policies and guidelines and the policies and procedures of the additional tasks activities and projects as deemed necessary by management.
Qualifications :
- 3-5 years of experience in the healthcare industry with knowledge in reimbursement billing prior authorization appeals and specialty pharmacy operations.
- Demonstrated strong accurate technical skills. Must be detail oriented. Must have a thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs billing alternate funding resources reimbursement processes prior authorization and appeal filings and specialty pharmacy operations.
- Proven leadership and coaching skills. Demonstrated ability to lead and participate within a team manage multiple priorities and meet associated timelines while maintaining accuracy.
- Must have professional written and verbal communication skills to interact with and build and maintain relationships with all levels of the organization. Must maintain a positive service image at all times even when dealing with challenging issues and unsatisfied customers.
- Proven organizational time management and problem solving skills elevating to management when appropriate.
- Skilled with the use of the Microsoft Office suite and the ability to use and effectively learn and navigate other computer systems.
Desired - 1-2 years supervisory experience in a call center large physician managed care or healthcare insurance setting.
Additional Information :
En AbbVie estamos comprometidos a cultivar una cultura laboral que promueva la inclusin la diversidad y el crecimiento personal. Reconocemos que nuestro xito colectivo se basa en el bienestar individual de nuestros colaboradores y es por eso que hemos diseado un paquete de beneficios pensando en cada aspecto de su vida.
- Cobertura Mejorada de Salud y Bienestar: Nuestro personal administrativo goza de un seguro mdico y dental integral asegurando tranquilidad para usted y sus seres queridos.
- Vacaciones Extendidas: Creemos en el equilibrio entre el trabajo y la vida personal de nuestro equipo administrativo. Por eso ofrecemos das adicionales de vacaciones ms all de los requisitos legales.
- Modelo de Trabajo Hbrido Flexible: Para los puestos elegibles dentro de nuestro personal administrativo adoptamos un esquema de trabajo hbrido que le permite la comodidad de teletrabajar durante dos das a la semana.
- Seguro de Vida: Asegure el futuro de su familia con nuestra pliza de seguro de vida.
- Avance Educativo: Invierta en su futuro con nuestro programa de becas disponible para empleados y sus dependientes.
- Programa de Asistencia al Empleado (EAP): Acceda a apoyo profesional con nuestro EAP integral que ofrece asesoramiento psicolgico legal y financiero.
- Servicios de Salud en la Empresa: Benefciese de la comodidad de contar con un mdico de la empresa y servicios de fisioterapia demostrando nuestro compromiso con su salud y bienestar.
- Compromiso Comunitario y Social: Haga la diferencia con un da de voluntariado pagado que le permite contribuir a la comunidad durante el horario laboral de la empresa.
- Beneficios Especiales de Permiso: Celebre sus logros de vida con das adicionales de permiso por matrimonio y disfrute de su cumpleaos con un da libre.
- Plan de Compra de Acciones para Empleados: Participe en el xito de nuestra compaa comprando acciones a un precio especial exclusivo para empleados.
- Transporte y Comidas Subsidiadas: Disfrute de la facilidad de transporte y de las comidas con nuestros servicios de transporte y cafetera subsidiados.
- Asociacin Solidarista: nase a una comunidad enfocada en la ayuda mutua y disfrute de los beneficios que conlleva ser miembro.
AbbVie is an equal opportunity employer and is committed to operating with integrity driving innovation transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.
US & Puerto Rico only - to learn more visit & Puerto Rico applicants seeking a reasonable accommodation click here to learn more:
No
Employment Type :
Full-time
Employment Type
Full-time
