Supervisor, Patient Access

PANTHERx Rare Pharmacy; Pittsburgh (Allegheny County); Hybrid; USD 60,000 - 85,000; Full time

Benefits offered by this job

Hybrid/remote work options

Excellent benefits package (medical, 


Dental

Vision

401K with employer matching

Life insurance

Short/long term disability

Paid time off

Paid holidays

Job summary

PANTHERx Rare Pharmacy in Pittsburgh, PA seeks a Supervisor, Patient Access to oversee staff and manage enrollment, billing, and collections for specialty medications.

Responsibilities include training, verifying coverage, managing claims, and coordinating with the Insurance Resolution team to ensure accurate charges and reimbursements, while supporting staff development in a dynamic healthcare environment.

Qualifications

• Strong written and verbal communication skills to convey ideas professionally and effectively.
• Ability to understand and act on basic business principals of AR.
• Prioritization of daily tasks and focus on company goals.
• Multitask and manage multiple responsibilities simultaneously.
• Minimum 6 years’ experience with medical and prescription insurance authorization.

Responsibilities

• Trains staff on enrolling patients, accounts receivable, and patient balances.
• Verifies patient pharmacy coverage and processing information.
• Manages patient claims for prescription drug and medical benefits.
• Coordinates with Insurance Resolution Specialist team to ensure proper billing.
• Assists hiring and training to ensure staff success.
• Supports management with regular staff training on new therapies and changes.
• Other duties as assigned.

Skills

Communication

Multitasking

Prioritization

Experience with medical billing/AR

EDS billing systems

Excel

Word

Education

High school diploma / GED

Tools

EDS billing systems

Excel

Word

Job description

7,000 Diseases - 500 Treatments - 1 Rare Pharmacy

PANTHERx is the nation’s largest rare disease pharmacy, and we put the patient experience at the top of everything that we do. If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.

We Are Seeking Team Members Who Are inspired and compassionate problem solvers; Produce high quality work; Thrive in the excitement of the ever-challenging environment of modern medicine; and Are committed to achieving superior health outcomes for people living with rare and devastating diseases.

At PANTHERx, we know our employees are the driving force in what we do. We cultivate talent and encourage growth within PANTHERx so that our associates can continue to explore their interests and expand their careers. Guided by our mission to provide uncompromising quality every day, we continue our strategic growth to further reach those affected by rare diseases.

Join the PANTHERx team, and define your own RxARE future in healthcare!

Location:

Pittsburgh, PA (Hybrid)

Classification:

Exempt

Status:

Full-Time

Reports to:

Manager, Patient Access

Purpose

The Supervisor, Patient Access oversees staff, checks for accuracy and quality of the team. Manages all operational and financial aspects of enrolling, billing, collection, and accounting for the money’s due from insurances and patients/members for their specialty medications.

Responsibilities

• Trains staff on the functions including but not limited to enrolling patients, understanding accounts receivable, and patient’s balance.
• Teaches staff on how to verify patient pharmacy coverage & processing information.
• Manages patient claims for prescription drug and medical benefits in relation to providing excellent specialty pharmacy care.
• Communicates with the Insurance Resolution Specialist team to assure patients are being appropriately charged and insurance companies are being appropriately billed.
• Assists hiring and training to ensure the associate’s success in the job function.
• Supports management with regularly scheduled training classes with staff to ensure staff is abreast of all new therapies, drugs, and any new changes.
• Additional projects and activities, assigned.
• Opens communication within all departments and provides feedback to ensure positive results for patients, payors and PANTHERx.
• Works with Management to identify any negative margins at a drug/patient/payor level regarding adjudicated and non-adjudicated claims.
• Attends staff meetings and on occasion may lead a staff meeting.
• Other duties as assigned.

Required Qualifications

• High school diploma or general education degree (GED).
• Strong written and verbal communication skills necessary to convey ideas professionally and effectively.
• Ability to understand and act on basic business principals of AR.
• Prioritization of daily tasks and focus on company goals.
• Ability to multitask.
• Proficient with EDS billing systems, Excel and Word.
• Minimum 6 years’ experience with medical and prescription insurance authorization.
• Licensure Required: N/A.

Preferred Qualifications

• Experience or knowledge within the healthcare industry, particularly mail order or specialty pharmacy.
• Experience with CPR+.

Work Environment

This position operates in a home or professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

While performing the duties of this job, the employee is regularly required to sit, see, talk, or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms. Visual acuity is necessary for tasks such as reading or working with various forms of data for extended periods on a computer screen. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.

Benefits

Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program! Generous paid time off is also available to all full-time employees, as well as limited paid time off for part‑time employees. Of course we offer paid holidays too!

Equal Opportunity

PANTHERx Rare Pharmacy is an equal opportunity employer, and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.