VCU Health
10,000+ employees
⚕️ Healthcare Insurance
Healthcare Insurance
VCU Health is an academic medical center dedicated to advancing medicine and improving community health. With over 800 physicians across 200 clinical specialties, it offers a wide range of services including cancer care, heart and vascular services, neurosciences, orthopaedics, pediatrics, emergency care, and telehealth. VCU Health integrates cutting-edge technology and clinical expertise to make medical advancements a reality. It operates various hospitals and comprehensive care centers, including the VCU Medical Center in Downtown Richmond and the Children's Hospital of Richmond. VCU Health also emphasizes research and clinical trials to push the boundaries of what's possible in medicine.
Reimbursement Specialist Supervisor
đź•’ June 2
đź“Š Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
VCU Health
10,000+ employees
⚕️ Healthcare Insurance
Healthcare Insurance
VCU Health is an academic medical center dedicated to advancing medicine and improving community health. With over 800 physicians across 200 clinical specialties, it offers a wide range of services including cancer care, heart and vascular services, neurosciences, orthopaedics, pediatrics, emergency care, and telehealth. VCU Health integrates cutting-edge technology and clinical expertise to make medical advancements a reality. It operates various hospitals and comprehensive care centers, including the VCU Medical Center in Downtown Richmond and the Children's Hospital of Richmond. VCU Health also emphasizes research and clinical trials to push the boundaries of what's possible in medicine.
đź“‹ Description
• Supervise, coordinate, and prioritize the workflow of Reimbursement Specialists across multiple clinics. • Provide direct line supervision for Reimbursement Specialists, including performance evaluations, disciplinary action, time/attendance, coordination of staff activities, or other work as needed. • Conduct hiring, interviewing, onboarding, and training of new employees. • Monitor team productivity and compliance with turnaround times, providing feedback and coaching as needed. • Facilitate training and onboarding of new Reimbursement Specialists. • Review complex or escalated prior authorizations and appeals, ensuring appropriate documentation and compliance with insurance and regulatory requirements. • Collaborate with providers, nursing staff, and the Patient Assistance Program (PAP) team to ensure patients receive timely access to medications. • Identify process improvements to optimize team efficiency and patient care outcomes. • Prepare and review reports on team performance, Patient Assistance (PA) approvals/denials, and workload metrics. • Ensure compliance with departmental and health system policies and regulatory requirements. • Participate in special projects and cross-functional initiatives as assigned.
🎯 Requirements
• High School Diploma or equivalent • Current certification by the Pharmacy Technician Certification Board (PTCB) • Current licensure with the Virginia State Board of Pharmacy • Minimum of three (3) years of experience as a Reimbursement Specialist or equivalent role • Previous experience supervising or mentoring staff • Strong knowledge of PAPs, prior authorizations, and insurance benefit investigations • Proficiency in EMR systems and Microsoft Office
🏖️ Benefits
• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development
Apply NowSimilar Jobs
đź•’ June 2
Supervisor of Utilization Management overseeing department operations in healthcare system. Responsible for staffing, training, and compliance with policies and regulations.
🇺🇸 United States – Remote
đź’µ $67.7k - $105.8k / year
⏰ Full Time
🟡 Mid-level
đźź Senior
🦅 H1B Visa Sponsor
đź•’ June 2
Revenue Specialist for DaVita's billing systems setup team, focused on managing complex payer contracts and revenue operations. Requires strong analytical skills and healthcare experience.
🇺🇸 United States – Remote
đź’µ $20 - $28 / hour
đź’° Post-IPO Debt on 2021-02
⏰ Full Time
🟢 Junior
🟡 Mid-level
🚫👨‍🎓 No degree required
đź•’ June 2
Senior Mortgage Underwriter at SouthState Bank underwriting residential mortgage loans and ensuring compliance with guidelines. Leading a team and also serving as an expert resource for complex scenarios.
đź•’ June 2
Patient Registration Specialist capturing patient demographic data and insurance for Access TeleCare's billing system. Ensuring accurate insurance billing and compliance with HIPAA guidelines in a remote work setup.
🇺🇸 United States – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
🚫👨‍🎓 No degree required
đź•’ June 2
Chipotle Mexican Grill
10,000+ employees
Facilities Specialist maintaining restaurant facilities for Chipotle through preventative maintenance and repairs. Managing and training restaurant staff on maintaining facilities effectively.
