Anovo · 1 day ago
Reimbursement Supervisor
Memphis, TN
Full-time
Onsite
Mid Level
$60K/yr - $70K/yr
3+ years expAnovo is a company focused on specialty pharmacy operations, and they are seeking a Reimbursement Supervisor to oversee billing and revenue cycle management. The role involves supervising staff, ensuring compliance with policies, and improving reimbursement processes.
Health CareManufacturingPharmaceutical
Responsibilities
Supervise daily (1) specialty pharmacy intake/clearance, billing, collections, cash posting and call center activities, (2) HUB intake, clearance, and prescription triage activities, and (3) wholesale credentialing, order processing, invoicing, collections, and cash posting to ensure maximum efficiency
Monitor processing of denials and secondary billing requirements to ensure prompt follow-up
Ensure the timely and accurate submission of invoices to the responsible payer for services and products provided
Supervise, mentor, develop, and train staff as needed for continual improvement
Create training documents for new drug launches and use those documents to train dedicated teams on business rules, process flows, and SOPs as needed for the new drug launch
Know acceptable reimbursement ranges for each AnovoRx drug and be able to convert reimbursement rates expressed in WAC and pre-settlement AWP to post-settlement AWP equivalency
Must know and be able to apply the Company’s policy of restrictions on and acceptable waiver of co-payments and provision of reduced price or free goods
Ensure adequate phone coverage during published business hours for reimbursement, HUB and wholesale phone lines
Ensure staff are meeting or exceeding call quality policies and standards on all inbound and outbound calls
Responsible for conducting regular call quality auditing and reporting on staff as needed
Adhere to all drug manufacturers business rules during the daily patient clearance process
Understand and maintain the ability to train staff on manufacturer-specific SOP’s and expectations
Ensure staff are appropriately trained on AnovoRx, VAWD and other relevant policies and procedures as determined from time to time by the Company
Works collaboratively with other departments, including operations and managed care, to improve reimbursement process and results
Compile and prepare data for the Daily Dedicated Dashboard reporting
Report on the current patient statuses in the Dedicated Pharmacy Dashboard meetings
Continuously assesses processes for areas of improvement for efficiency and accuracy
Participate in interviewing prospective employees and conduct regular performance discussions with current employees
Work independently on projects as assigned by the manager
Regular and reliable attendance expected
Other work-related duties as assigned by supervisor/manager
Qualification
Required
A minimum of a high school diploma or equivalent required
Must have a minimum of 3 years' experience in a health care billing or reimbursement related function and/or organization
Must be highly motivated, people friendly, organized and detail oriented
Must not have history evidencing any dishonesty, lack of trustworthiness, or workplace violence
Must have excellent computer skills; proficient with Microsoft Office Suite (primarily Word, PowerPoint, and Excel.)
Able and willing to work any required Anovo operating shift within the hours of 7am-7pm Monday-Friday
Must have history evidencing reliability and consistency in timeliness, attendance, and quality of work
Must present yourself professionally on the phone and in person
Must articulate thoughts well and communicate them clearly, both verbally and in writing
Must pass Company's drug test and background screening prior to start of employment
Preferred
2.1-2 Years Of Prior Supervisory Experience Preferred
Company
Anovo
Dedicated. Exclusive. Unique. Anovo’s unique business is purpose-built exclusively for niche products designed to treat or impact rare diseases.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknownKey Investors
TPG Growth
2022-01-12Private Equity
Leadership Team
Jon Peters
President and CEO
Kyle Truitt
SVP & COO
Recent News
Business Wire
2022-01-13
Company data provided by crunchbase