Supervisor, Claims - Remote

ExactCare Pharmacy; Pennsylvania; Remote; USD 60,000 - 90,000; Full time

Job summary

An innovative healthcare company is seeking a Revenue Cycle Supervisor to lead operations in a dynamic environment. This role involves overseeing claim processing, ensuring compliance, and driving performance improvements within the revenue cycle team. The ideal candidate will possess a strong understanding of pharmacy workflows and demonstrate exceptional leadership skills. With a focus on training and development, this position offers the opportunity to make a significant impact in transforming pharmacy care delivery. Join a forward-thinking organization dedicated to enhancing patient outcomes and optimizing pharmacy performance.

Benefits

Paid Company Holidays

Paid Time Off

Medical Benefits

Dental Benefits

Vision Benefits

401(k) with Company Match

Company-paid Life Insurance

Disability Benefits

Supplemental Insurance packages

Volunteer Time Off

Qualifications

• 2+ years management experience required.
• Understanding of pharmacy revenue cycle workflows essential.

Responsibilities

• Direct day-to-day revenue cycle operations and staff.
• Analyze claims data to identify inefficiencies.
• Develop and maintain policies and procedures.

Skills

Specialty/Home Infusion software

Pharmacy revenue cycle workflows

Medical terminology

ICD-10 coding

HCPCS coding

Business process automation

MS Office proficiency

Organizational skills

Interpersonal skills

Communication skills

Education

Bachelor's Degree

Equivalent business experience

Job description

Supervisor, Claims - Remote page is loaded

Supervisor, Claims - Remote

Apply locations PA - Remote CarepathRx Specialty Pharmacy & Infusion Solutions Locations time type Full time posted on Posted 3 Days Ago job requisition id R-107072

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Job Details:

The Revenue Cycle Supervisor is responsible for overseeing the day-to-day operations of the revenue cycle function, ensuring timely and accurate claim processing, compliance, and resolution of escalations. This role provides leadership and direction to revenue cycle staff, supporting performance through training, development, and process improvement initiatives. The Supervisor will play a key role in analyzing claims data, implementing efficiencies, and ensuring adherence to applicable state and federal regulations. This position requires a deep understanding of pharmacy revenue cycle workflows, strong problem-solving skills, and the ability to lead a team in a dynamic healthcare environment.

Responsibilities

• Assumes responsibility for directing all day-to-day activities related to revenue cycle objectives.

• Provides leadership and direction to revenue cycle staff to meet or exceed business improvement.

• Analyze and trend claims related data to identify inefficiencies and implement process.

• Lead work groups with the ability to identify problems and propose systematic solutions and develop/maintain necessary work plans.

• Maintain designated standards established for handling incoming work with applicable state and federal laws.

• Maintains compliance accountability specific to claims administrations in accordance training, and appropriate resources.

• Supervises and directs staff, supporting professional growth by providing education.

• Provide leadership and direction through developing and updating policy and procedures, programs, determining appropriate standards and procedures, determining staffing requirements, and training opportunities.

• Recruit and discharge employees when necessary.

Skills & Abilities

• Knowledge of Specialty/Home Infusion software

• Knowledge of pharmacy revenue cycle workflows

• Medical terminology, ICD-10, and HCPCS coding required

• Must have strengths in methods and techniques of business process automation

• Proficient knowledge in MS Office and PC skills preferred

• Able to demonstrate excellent organizational, interpersonal, and communication skills.

• Maintain designated production and quality standards required.

• Must have the ability to effectively interact with internal and external customers.

• Ability to react to users' needs in a timely and efficient manner and direct staff with minimal amount of supervision.

Requirements

• Bachelor's Degree preferred or equivalent business experience of two (2) years.

• Two (2) years minimum management experience required.

CarepathRx offers a comprehensive benefit package for full-time employees that includesmedical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits,401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire .

CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

About Us

CarepathRx is transforming pharmacy care delivery for health systems and hospitals, delivering improved patient outcomes that drive clinical, quality and financial results. Through the industry’s most comprehensive, end-to-end hospital pharmacy care delivery model, CarepathRx is turning hospital pharmacy into an active care management strategy and revenue generator while providing support across the patient’s complete healthcare journey. The company takes an enterprise approach, providing a powerful combination of technology, market-leading clinical pharmacy services, and wrap-around services that optimize pharmacy performance across the enterprise for fully integrated pharmacy operations, expanded healthcare services, improved ambulatory access, minimized clinical variation and new health system revenue streams. Today, CarepathRx serves more than 15 health systems and 600 hospitals, with more than 2,400 employees nationwide. For more information about CarepathRx, visit our website .

Join Our Team!

We are always searching for the best talent to join our growing organization. Check out our available opportunities by using the search functionality and filtering options at the top!

CarepathRx offers full-time employees a comprehensive benefits package that includes:

• Paid Company Holidays
• Paid Time Off and Volunteer Time Off
• Medical, Dental and Vision Benefits for you and your family
• 401(k) with Company Match
• Company-paid Life Insurance and Disability Benefits
• Supplemental Insurance packages

Introduce Yourself

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We hope you find a fulfilling career with CarepathRx!