Supervisor - Pharmacy Revenue Cycle

Position Summary
Under the general direction of the Director of Revenue Cycle Pharmacy. The Revenue Cycle Pharmacy Supervisor will perform functions to supervise the reimbursement functions of multiple retail, infusion and specialty pharmacy business units. This role will include focus on referral intake, authorizations, billing, and collections functions. This role can be complex due to the responsibility for ensuring that the financial systems are operational and effective in collecting payments from patients, insurance companies, and government programs.

Will cultivate an environment of outstanding customer service in all interactions with internal business partners, payers, and patients. Includes development of a highly effective team that can meet the critical challenges of timely, and successful reimbursement from payers. The Revenue Cycle Supervisor Pharmacy acts as a liaison between clinic operations leadership, third party billing vendor and other departments with Boston Medical Center.

Position: Supervisor - Pharmacy Revenue Cycle
Department: Pharmacy Revenue Cycle
Schedule: Full Time
Essential Responsibilities / Duties

• Supervise the day-to-day operations of Pharmacy Revenue Cycle staff, this includes but is not limited to: interviewing and hiring qualified staff, orienting new employees, coaching and mentoring staff on job requirements, policies and work procedures, developing training programs, counseling staff on performance/behaviors, and general planning and coordinating of the team's activities.
• Maintain high-performance in reimbursement team metrics, including day's sales outstanding, percent of open claims, percent of unapplied cash, and percent of bad debt.
• Support the pharmacy leadership team and organization by producing reports that share key information and provide guidance on fiscal and revenue cycle performance.
• Monitor daily operating activity of department; conduct huddles with staff to review department performance and goals and make necessary adjustments in work assignments.
• Provide leadership, direction and guidance; Set departmental goals and priorities and assign management oversight for the daily office operations.
• Develop and maintain operating procedures to support standardization and efficiency within the pharmacy fiscal team and pharmacy billing systems. Update as appropriate with changes in regulation, technology, or payer guidance.
• Monitor status of staff workload using reports that identify weekly activity performed, trends in activity and impact of unworked accounts. Provide feedback to staff regarding the status of assignments and instruction in processes that will resolve balances and meet or exceed best of practice standards.
• Work collaboratively with departments, practices and third party billing vendor to drive organizational efficiencies and alignment and to ensure processes and systems are standardized and optimized for efficient and effective flow of patient accounts
• Participate in department sessions to explain billing and follow-up procedures and how the entry of information to various computer applications affects the pharmacy and hospital A/R.
• Support the pharmacy leadership team and organization by producing reports that share key information and provide guidance on fiscal and revenue cycle performance.
• Responsibilities also include maintaining accurate systems for