At Shire, we are proud and grateful to employ military veterans and thank them for their contributions to our company and our country. See where your military experience can play a role at Shire by using our military skills translator job search tool below:
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Billing Supervisor - Remote
Job Description
This position oversees day to day operations of Billing and monthly billing close processes. In this leadership role, providing direction and guidance on work assignments will be critical to ensure timely and accurate completion of tasks. As well as effectively managing the performance of the billing staff while creating a team culture that optimizes staff development. This role is responsible for identifying and implementing process improvement initiatives that maintain exceptional standards of excellence for our clients and members.
Responsibilities
Must be able to work 10am to 6:30pm Eastern
Manages billing staff and workload assignments while monitoring team productivity and quality metrics.
Establishes and maintains billing processes that ensure accurate and timely claim reimbursement.
Actively involved in working with other departments in the resolution of billing issues
Performs Quality oversight of claims and customer service handling
Prepares Ad hoc reporting and monitors reimbursement rates and margins
Meets with Senior Management to provide recommendations on system or process improvements
Coaches and develops staff through 1:1s and on-going feedback as well as training opportunities, including applicable job aids or reference materials.
Audits Medical claims, reviews Control Reports, and successfully closes the Billing month end cycle.
Tests and provides feedback on new Operating systems
Other duties as assigned
Qualifications
HS Diploma / GED required.
5+ years of pharmacy or medical billing experience.
2+ years of supervisory/management experience or demonstrated equivalent leadership skills..
Demonstrated understanding of Insurance plans, Benefits and Authorization process.
Advanced level Excel and intermediate knowledge of MS Office Suite.
Strong analytical and multi-tasking skills, excellent problem-solving skills, attention to detail and follow through
Must be able to independently resolve issues from the routine to the complex while exercising appropriate judgment, including escalating issues to senior management.
Physical Demands
Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
Must be able to constantly operate a computer and/or other office productivity equipment
Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $53,000.00 - $85,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.