3rd-Party Billing & Claims Supervisor

BrightSpring Health Services

Louisville (KY)

On-site

USD 60,000 - 75,000

Full time

4 days ago
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Benefits offered by this job

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Short/Long-Term Disability
Flexible Schedules & PTO
Tuition Reimbursement
DailyPay
401k
Pet Insurance

Job summary

PharMerica, a BrightSpring Health Services affiliate, seeks a Billing & Claims Supervisor to lead the 3rd Party Analyst team and coordinate with payers. The role focuses on setting goals, mentoring staff, and ensuring accurate third-party billing processes.

The position requires strong leadership, analytics, and cross-functional collaboration. Responsibilities include creating SOPs, managing payroll data, and driving improvements in revenue recovery while staying aligned with industry standards

Qualifications

  • Supervisory or managerial experience in a healthcare setting.
  • Experience with pharmacy or health data analysis is preferred.
  • Strong writing and verbal communication skills; ability to present to C-level stakeholders.

Responsibilities

  • Lead the 3rd Party Analyst team and coordinate with payers.
  • Define goals, performance metrics, and quality assurance standards for the team.
  • Maintain SOPs and training plans for analysts.
  • Monitor attendance and payroll timekeeping; ensure policy compliance.
  • Collaborate with contracting, purchasing, claims, AR, IT and other departments.
  • Address third-party billing issues and optimize revenue recovery.
  • Represent PharMerica in industry meetings (NCPDP).
  • Provide SME guidance on internal claims billing system.

Skills

Leadership
Communication
MS Office (Excel/Word)
Data analysis
Confidentiality

Education

Associate’s degree or equivalent
Bachelor’s degree

Tools

AS400

Job description

PharMerica, a BrightSpring Health Services affiliate, seeks a Billing & Claims Supervisor to lead the 3rd Party Analyst team and coordinate with payers. The role focuses on setting goals, mentoring staff, and ensuring accurate third-party billing processes.

The position requires strong leadership, analytics, and cross-functional collaboration. Responsibilities include creating SOPs, managing payroll data, and driving improvements in revenue recovery while staying aligned with industry standards

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