Associate Director of Referral Services jobs in United States
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BioMatrix Infusion Pharmacy · 2 hours ago

Associate Director of Referral Services

BioMatrix is a nationwide, independently-owned infusion pharmacy dedicated to supporting patients on specialty medication. The Associate Director of Referral Services will oversee the referral process, manage document management and data entry, and collaborate with internal departments to ensure optimal patient outcomes.

Health CarePharmaceutical

Responsibilities

Sets the tone for the Referral Services departments, develops and supports BioMatrix culture in the work environment, and ensures there is opportunity for team professional development
Oversee the DM team supporting fax queue management and data entry of records applicable to documents received
Set standard metrics and goals for Referral Services team members for pull through of referrals, data entry, and documentation management, PAL, BV, PA processing
Establish training protocols for new employees and evaluate performance against metrics/goals; and determine corrective action or training plans to support performance improvement when needed
Establishes communication processes and procedures for Referral Services team members to engage necessary internal and external stakeholders to gather missing or inaccurate information
Work cohesively with internal department leadership to ensure continuity of patient referral activities are performed optimally
Provide administrative and/or leadership support for accreditation related process or data collection activities that entail information from the Intake or Referral departments
Work collaboratively with referral and pharmacy operations management peers to support successful outcomes overall end to end processes to support getting referrals to their proper destination
Daily & Weekly (or as needed) – Review department alignment with stated SLAs for the department, identify trends among reporting periods, and take action with team or peers as needed
Support staffing and resource adjustments as found necessary to support referral volumes and overall growth goals for the organization
Maintains necessary and thoughtful communications to the intake and Patient Services specialist team members delivering information supplied by leadership with impact to people, process, and technology updates within a given location
Serves as a point of escalation for issue management and resolution support related to services provided by Intake & PAL’s
Ensure maintenance of strict confidentiality of patient information and compliance with HIPAA Privacy Rule standards

Qualification

Patient referral managementInfusion therapy reimbursementLeadership experienceAdvanced computer skillsMedical terminologyPayer contracts knowledgeCustomer service skillsCommunication skillsOrganizational skills

Required

5-7 years of experience in managing patient referral and prescription activities in infusion or specialty therapies
3-5 years of general infusion or specialty therapy reimbursement or payer experience
3-5 years of experience in supporting prescriber, healthcare setting, patient, and field facing communications related to referral or prescription services in infusion or specialty therapies
1-3 years of successful management/leadership of department employees
Strong customer service skills internal and external customers, including meeting quality standards for services and evaluation of customer satisfaction
High School Diploma or equivalent, Bachelors' Degree preferred
Advanced computer and internet skills (e.g. Microsoft Office)
Must know and understand financial information and reporting aspects
Willing to travel up to 5% of the time for business purposes (when necessary to attend meetings, conferences, seminars, etc.)
Experience with medical terminology

Preferred

5 years of people management experience overseeing team members responsible for pharmacy intake or referral process activities
Strong knowledge and understanding of infusion therapies, the steps needed to qualify a patient for such therapy, and the ability to lead team members through these steps
General knowledge and understanding of payer contracts for infused therapies and operational requirements to support contracts for pharmacy or prescription services

Company

BioMatrix Infusion Pharmacy

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BioMatrix Infusion Pharmacy is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication.

Funding

Current Stage
Growth Stage
Total Funding
$80M
2024-06-25Acquired
2016-12-02Private Equity· $80M

Leadership Team

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Kathee Kramm
President and COO
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Company data provided by crunchbase