Our Company

　　Amerita

　　Overview

　　The Manager of Benefit Investigation is responsible for oversight of activities relating to the proper loading and investigation of patient prescription benefits, including but not limited to medical and pharmacy coverage, investigation of authorization requirements needed to obtain medical coverage, as well as obtaining patient copay card assistance based on program eligibility criteria. This role requires advanced program knowledge of benefit verification, prior authorization, and claims adjudication, and will provide quality control by routinely examining cases completed by team members, reviews of No-Go trends, and operations process reviews pertaining to patient benefits.

　　This is a remote position. Applicants can reside anywhere in the continental USA.

　　We offer:DailyPayFlexible schedulesCompetitive payShift differentialHealth, dental, vision and life insurance benefitsCompany paid STD and LTDTuition AssistanceEmployee Discount Program401kPaid-time offTuition reimbursementNon-retail/Closed-door environment

　　Responsibilities

　　Supervises BI staff in a leadership role to maintain a positive working environment by creating synergy and teamwork to minimize employee relations issues and reduce turnover. Communicates effectively across pharmacy and/or corporate teams and with patients, and successfully resolves issues

　　Assists Director of Operations – Workflow in day-to-day pharmacy operations and in implementing new procedures to ensure that the accurate and timely dispensing of quality pharmacy services is consistently delivered to all patients using effective service leadership and customer skills

　　Works with pharmacy management to recruit, select, hire, orientate, develop, and train new associates

　　On an ongoing basis, evaluates, coaches, and utilizes performance management practices to motivate and set expectation for intake staff

　　In collaboration with management, drafts and delivers effective corrective action plans and disciplinary action to technicians performing at substandard levels

　　Manages and reports on activity of vertical team members, including managing of daily workflow and productivity trends

　　Monitors and validates adherence to Policies and Procedures within the BI team, auditing as necessary to ensure productivity and performance to goals are accomplished or exceeded

　　Reviews Gold Standard Initiative operational process and workflow queues to find opportunities to enhance intake process and coordinate with Director of Operations - Workflow to approve and roll out changes/ updates

　　Manages and maintains web tools utilized by the BI team and offers frontline support to address system functionality questions and issues (ex: provider eligibility portals, copay card portals, applications, etc.)

　　Manages communication, assignments, process updates and feedback for any off-site team in the benefit investigation queues

　　Knowledgeable to perform all Benefit Investigation functions and resolves escalations regarding difficult cases. Provides thorough, accurate and timely responses to requests

　　Implements and follows up on progress of any operational changes and updates to the document management process with the benefit investigation team and key stakeholders

　　Works with Director of Operations – Workflow on other responsibilities, projects, implementations, and initiatives as needed

　　Maintains a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws

　　Contributes to team effort by accomplishing related tasks as needed and other duties as assigned

　　Conducts job responsibilities in accordance with standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards

　　Qualifications

　　High School Diploma/GED, previous experience in pharmacy, medical billing, or benefits verification

　　5+ years pharmacy experience, 1+ years supervisor experience required

　　Excellent interpersonal skills, able to work with all levels of management and staff, vast knowledge of pharmacy insurance and benefit verification

　　Ability to multitask in a demanding environment

　　Excellent organizational skills and mindfulness

　　About our Line of Business

　　Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visitwww.ameritaiv.com. Follow us onTwitter (https://twitter.com/AmeritaIV) and LinkedIn (https://www.linkedin.com/company/amerita-inc/) .

　　Salary Range

　　USD $67,760.00 - $84,700.00 / Year

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　　ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at [email protected] .

　　Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.

　　Job LocationsUS-KY-LOUISVILLE

　　ID 2024-133914

　　Line of Business Amerita

　　Position Type Full-Time

　　Pay Min USD $67,760.00/Yr.

　　Pay Max USD $84,700.00/Yr.