CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.
Job Details:
The Supervisor, Revenue Cycle, is responsible for the day-to-day activities related to revenue cycle operations with the goal of meeting all revenue cycle targets and objectives. The ideal candidate should have strong leadership experience and knowledge of pharmacy revenue cycle including home infusion, medical billing practices, and payer reimbursement guidelines, as well as strong communication and problem-solving skills.
Responsibilities
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Assumes responsibility for directing all day-to-day activities related to revenue cycle.
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Provides leadership and direction to revenue cycle staff to meet or exceed business objectives.
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Analyze and trend claims related data to identify inefficiencies and implement process improvement.
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Lead work groups with the ability to identify problems and propose systematic solutions and develop/maintain necessary work plans.
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Maintain designated standards established for handling incoming work.
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Maintains compliance accountability specific to claims administrations in accordance with applicable state and federal laws.
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Supervises and directs staff, supporting professional growth by providing education, training, and appropriate resources.
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Provide leadership and direction through developing and updating policy and procedures, programs, determining appropriate standards and procedures, determining staffing requirements, and training opportunities.
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Recruit and discharge employees when necessary.
Skills & Abilities
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Knowledge of Specialty/Home Infusion software
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Knowledge of pharmacy revenue cycle workflows
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Medical terminology, ICD-10, and HCPCS coding required
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Must have strengths in methods and techniques of business process automation
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Proficient knowledge in MS Office and PC skills preferred
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Able to demonstrate excellent organizational, interpersonal, and communication skills.
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Maintain designated production and quality standards required.
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Must have the ability to effectively interact with internal and external customers.
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Ability to react to users' needs in a timely and efficient manner and direct staff with minimal amount of supervision.
Requirements
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Bachelor's Degree preferred or equivalent business experience of two (2) years.
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Two (2) years minimum management experience required.
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.
Top Skills
What We Do
CarepathRx is transforming pharmacy care delivery for health systems and hospitals, delivering improved patient outcomes that drive clinical, quality and financial results.
CarepathRx provides the industry’s most comprehensive hospital pharmacy care delivery model, providing support across the patient’s complete healthcare journey—across multiple care settings, from hospital to home, no matter the patient acuity level.
We take an enterprise approach to pharmacy care delivery, providing a powerful combination of technology, market-leading clinical pharmacy services, and wrap-around services. This comprehensive, end-to-end approach enables health systems and hospitals to optimize pharmacy performance across the entire enterprise, including:
- Fully integrated pharmacy operations
- Expanded healthcare services
- Improved ambulatory access
- Minimized clinical variation
- Enhanced clinical patient outcomes
- New revenue streams
- Optimized health system revenue growth
For patients this means a more seamless experience and better overall health. And for clients, it means pharmacy is no longer a cost center—it’s a results generator. Today, CarepathRx works with more than 15 health systems and 600 hospitals nationwide.
