Program Support Supervisor

Program Support Supervisor CareMed Specialty Pharmacy - 2.9 Woodridge, IL Job Details Full-time From $65,000 a year 1 day ago Benefits Paid holidays Disability insurance Health insurance Dental insurance Tuition reimbursement Paid time off Vision insurance 401(k) matching Qualifications Customer inquiry handling Full Job Description Program Support Supervisor - CareMed Specialty Pharmacy Woodridge, IL | Full-Time Mon - Fri 8am to 4:30pm or 10:30am to 7:00pm CST This role is remote, but must live in proximity to the pharmacy location Salary Starting at $65k and up depending on experience

Sign-On Bonus:

$5,000 for employees starting before July 31, 2026. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities, and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. We offer competitive compensation and great benefits including: Medical; Dental; Vision 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits - life; and short and long-term disability The Program Support Supervisor is responsible for supervising the accuracy and timeliness of the program's billing function, prescription fulfillment process, and pharmacy/medical benefits investigations.

Program Support Supervisor Essential Functions :

Manages the verification of current coverage with third party payers and obtains authorization as needed. Help with the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, and claims adjustments. Ensure that all prescriptions are billed in accordance with Medicare/DMEPOS regulations and that all required information is documented on the hardcopy prescription. Communicates as required with client/patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about billing. Communicates as required with manufacturer sales representatives. Coordinates and participates in conference calls with manufacturer partners when requested. Oversee record keeping so that all information is accurate and complete and manages the flow of up-to-date information between billing department and other parts of the Company, such as the accounts receivable, accounts payable and customer service departments. Generates and analyzes reports. Assists with developing, reviewing, and suggesting changes to prescription fulfillment department policies and procedures as needed. Ensures ongoing compliance with all laws and regulations; ensures the department meets or exceeds accreditation standards; and implements 'best practices' in all departmental activities. Delegates authority when necessary to ensure that all responsibilities of this position are fulfilled in a timely and accurate manner. Help with the completion of pharmacy and medical cases when needed. Assists with managing and training staff in benefits investigations. Monitors daily calls/cases/chats. Other duties as assigned.

Program Support Supervisor Knowledge, Skills & Abilities :

Associates Degree or equivalent program from a two- year college or technical school, or certificate program in pharmacy and/or healthcare, required. Minimum of 2 years' pharmacy experience Registration/Certification with Board of Pharmacy as required by law Pharmacy Technician Certification (PTCB), preferred. 1-3 years' experience in Health Care Management, preferred. Ability to organize and plan the activities of team, delegate appropriately, provide superior level of customer service, and computer experience to include accounting and billing software. Must be a team player. Superior level of customer service as well as understanding the department operations. Maintain HIPAA patient confidentiality.