Supervisor, Patient Access

The Supervisor of Patient Access Services provides leadership support and supervision for the Patient Access Specialist team with the Patient Assistance Program (PAP) within Pharmacy Solutions. The individual is a subject matter expert in all aspects of the Patient Access Specialist role including patient and HCP communication insurance investigation payer calls and conduct financial assessments to render the appropriate decision of approval or denial into the program. The supervisor ensures that all day to day activities of the team operate smoothly and seamlessly to provide the best customer experience for both HCPs and Patients. This position is responsible for ensuring all performance metrics workload deliverables and customer service activities are completed in alignment with business model.

Responsibilities

• Supervise and oversee patient access specialists responsible for coordinating review of all application documents conducts insurance investigations when applicable assess patients financial information and provide an outcome status to patients and HCPs
• Monitors and assigns work adjusting workload and staffing requirements to ensure that all cases are addressed in a timely and efficient manner while achieving established KPIs and quality goals
• Perform administrative tasks such as work hour scheduling attendance monitoring and counseling vacation request scheduling and overtime allocations. Participate in the hiring process and handle all employee issues for 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 accountability for the day to day execution of tasks and is responsible for providing periodic progress reports on goals and metrics
• Provide activity metrics status updates and program intelligence to management on an as needed basis to ensure program success and compliance
• Responds investigates and resolves escalated patient cases and communicates to management as deemed appropriate
• Consistently build and maintain collaborative relationships cross functionally to ensure processes are followed according to business rules and policies
• Ensure all patient cases are documented in the CRM in accordance with all business rules and policies
• Readily assists on special project within job scope to provide process optimization when requested by management

Qualifications :

• High school diploma or equivalent required. Bachelors Degree or Associate Degree in health sciences or business preferred. Comparable or relevant experience will be considered
• A minimum of 3-5 years experience within a healthcare provider PBM Specialty Pharmacy or Retail/Mail Order Pharmacy setting strong core insurance (Medical and Pharmacy Benefit) knowledge
• Previous leadership in a call center integrated health care provider managed care or healthcare insurance setting desired
• Strong understanding of health care reimbursement channels including; commercial pharmacy major medical and governmental programs
• Knowledge of online verification systems or similar experience required
• High quality customer service skills. Maintains 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
• Strong analytical skills preferred
• Ability to express ideas clearly in both written and oral communications
• Strong attention to detail and with the ability to multi-task required

Additional Information :

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: 

• The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location and we may ultimately pay more or less than the posted range. This range may be modified in the future. 
• We offer a comprehensive package of benefits including paid time off (vacation holidays sick) medical/dental/vision insurance and 401(k) to eligible employees.
• This job is eligible to participate in our short-term incentive programs. 

Note: No amount of pay is considered to be wages or compensation until such amount is earned vested and determinable. The amount and availability of  any bonus commission incentive benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless and until paid and may be modified at the Companys sole and absolute discretion consistent with applicable law. 

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:

Work :

No

Employment Type :

Full-time