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.
performance reviews.
Perform administrative tasks such as work hour scheduling, attendance monitoring and counseling, vacation request scheduling, and overtime scheduling. 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 local payor intelligence information to management per established guidelines.
Elevate issues as appropriate.
Consistently build and maintain collaborative relationships cross-functionally to ensure a seamless customer experience 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 local pharmacy laws, HIPAA and privacy policies and guidelines, and the policies and procedures of the business.
Perform additional tasks, activities, and projects as deemed necessary by management.
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Bachelor's degree or Associate Degree in health sciences or business preferred. Comparable or relevant experience will be considered.
3-5 years of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization, appeals, and specialty pharmacy operations
1-2 years supervisory experience in a call center, large physician, managed care, or healthcare insurance setting desired
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.
Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:
We offer a comprehensive package of benefits including paid tim
Benefits
Health insuranceVision insurancePaid time off
Additional Information
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.
Abbvie · North Chicago, IL