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Program Support Supervisor

Remote · South Africa Full-time

This is a Fully Remote Job About Our Client: ConnectMed360 operates in the healthcare sector, focusing on supporting community, oncology, and hematology physicians, patients, payers, and manufacturers. The organization addresses challenges related to patient care coordination and benefits management for individuals battling cancer and rare diseases, aiming to improve outcomes in these specialized medical fields. About the Opportunity: The PROGRAM SUPPORT SUPERVISOR plays a critical role in overseeing the accuracy and timeliness of billing, prescription fulfillment, and benefits investigations within the program. This position ensures compliance with regulations and supports operational efficiency, directly impacting patient service quality and the organization’s financial processes. Responsibilities: Manage verification of coverage with third-party payers and obtain necessary authorizations Resolve billing issues including claim resubmissions, coverage changes, and adjustments Ensure prescriptions comply with Medicare/DMEPOS regulations and proper documentation Communicate with clients and patients regarding billing inquiries and financial assistance Coordinate with manufacturer sales representatives and participate in related conference calls Oversee accurate record-keeping and information flow between billing, accounts receivable/payable, and customer service departments Generate and analyze reports Assist in developing and updating prescription fulfillment policies and procedures Ensure compliance with laws, regulations, and accreditation standards; implement best practices Delegate responsibilities to ensure timely and accurate fulfillment of tasks Support pharmacy and medical case completion when needed Manage and train staff involved in benefits investigations Monitor daily calls, cases, and chats Perform other duties as assigned Adhere to the organization's Code of Business Conduct and Ethics, policies, and applicable laws Requirements: Associate’s Degree or equivalent from a two-year college, technical school, or certificate program in pharmacy and/or healthcare Minimum of two years’ pharmacy experience Registration/Certification with Board of Pharmacy as required by law Ability to organize, plan team activities, delegate, provide superior customer service, and use accounting and billing software Pay Range and Compensation Package: Starting salary: $65,000 and up depending on experience Benefits & Perks: Medical insurance Dental insurance Vision insurance 401(k) with match Paid Time Off and Paid Holidays Quarterly Incentive Bonuses Tuition Reimbursement Company-paid life, short-term, and long-term disability insurance Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note: TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.

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