Are you a driven and highly motivated individual with a passion for the pharmaceutical industry?
Do you thrive in a fast-paced, dynamic environment?
We are an independent provider of infusion and specialty services, that position patients at the center of our distinctive and tailored approach to care.
We are searching for a strong RCM/INTAKE OPERATIONS MANAGER for our offices and infusion suites in the Sugar Land, TX area.
Responsibilities:
- Conduct initial intakes to ensure eligibility of potential patients.
- Obtain medical histories and personal information of new patients.
- Update medical records of existing patients.
- Review documents for accuracy and completeness.
- Prepare new patient paperwork.
- Assist with billing as needed.
- Conduct medical benefits verification as directed.
- Ensure all operations are carried out in an appropriate, cost-effective way.
- Improve operational management systems, processes and best practices.
- Purchase materials, plan inventory and oversee warehouse efficiency.
- Help the organization’s processes remain legally compliant.
- Formulate strategic and operational objectives.
- Examine financial data and use it to improve profitability.
- Manage budgets and forecasts.
- Perform quality controls and monitor production KPIs.
- Recruit, train and supervise staff.
- Find ways to increase the quality of customer service.
Qualifications:
- Experience with medical benefits verification.
- Experience with deductibles, max out of pockets, and coinsurance.
- Strong knowledge of CPR+ or CareTen billing software REQUIRED
- Experience with prior authorization is preferred, though not required.
- Experience with Pharmacy Benefits Management (PBM) claims is strongly preferred.
- Proven work experience as Operations Manager or similar role.
- Knowledge of organizational effectiveness and operations management.
- Experience budgeting and forecasting.
- Familiarity with the pharmacy business and financial principles
- Excellent communication & leadership skills
- Outstanding organizational skills
- Bachelor’s degree in business, Operations Management or related field is preferred
- Proficiency in any of the following languages is encouraged, but not required:
- Spanish, Arabic, French, Vietnamese, Hindi
Job Type: Full-time
Pay: $70,000.00 - $80,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Life insurance
- Vision insurance
Schedule:
Supplemental pay types:
Experience:
- Medical benefits verification: 2 years (Preferred)
- CPR+ or CareTen Software: 1 year (Preferred)
- Pharmacy claims: 1 year (Preferred)
Ability to Commute:
Work Location: In person