VCU Health · 14 hours ago
Reimbursement Specialist Supervisor - Remote
United States
Full-time
Remote
Mid, Senior Level
3+ years expVCU Health is seeking a Reimbursement Specialist Supervisor to oversee the daily operations of the Reimbursement Specialist team. This role involves ensuring timely processing of prior authorizations and providing guidance and performance management for team members.
Hospital & Health Care
Responsibilities
Supervise, coordinate, and prioritize the workflow of Reimbursement Specialists across multiple clinics
Provide direct line supervision for Reimbursement Specialists, including performance evaluations, disciplinary action, time/attendance, coordination of staff activities, or other work as needed
Conduct hiring, interviewing, onboarding, and training of new employees
Monitor team productivity and compliance with turnaround times, providing feedback and coaching as needed
Facilitate training and onboarding of new Reimbursement Specialists
Review complex or escalated prior authorizations and appeals, ensuring appropriate documentation and compliance with insurance and regulatory requirements
Collaborate with providers, nursing staff, and the Patient Assistance Program (PAP) team to ensure patients receive timely access to medications
Identify process improvements to optimize team efficiency and patient care outcomes
Prepare and review reports on team performance, Patient Assistance (PA) approvals/denials, and workload metrics
Ensure compliance with departmental and health system policies and regulatory requirements
Participate in special projects and cross-functional initiatives as assigned
Serve as a point of contact for internal and external escalations related to PAs, appeals, or patient access concerns
Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS and the Department. Provides assistance to team members. Accepts alternate assignments, as required
Qualification
Required
High School Diploma or equivalent
Current certification by the Pharmacy Technician Certification Board (PTCB)
Current licensure with the Virginia State Board of Pharmacy
Minimum of three (3) years of experience as a Reimbursement Specialist or equivalent role
Previous experience supervising or mentoring staff
Strong knowledge of PAPs, prior authorizations, and insurance benefit investigations
Proficiency in EMR systems and Microsoft Office
Cultural Responsiveness
Preferred
Associate's Degree or higher in Business, Healthcare Administration, or related field
Additional supervisory or leadership certifications a plus
Strong leadership and communication skills
Ability to handle multiple priorities and high-volume workload
Company
VCU Health
VCU Medical Center is a school. It is a sub-organization of Virginia Commonwealth University.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Theresa A. Erichsen RN BSN LCCE FACCE IBCLC
RN Arts In Healthcare, Childbirth Ed, Lactation Consultant, Co-founder/ Ex Dir VCU Health Orchestra
James Siegel, CPA, CIA
Senior Vice President & Chief Financial Officer
Recent News
2025-10-30
2025-10-15
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