Amerita
OverviewThe Supervisor, Access is responsible for overseeing all aspects of patient access services, including prior authorization, benefit investigation, and claims adjudication. This role ensures timely and accurate completion of benefit verification, authorization requests, copay assistance coordination, and payer communications to support patient access to therapy. The Supervisor will lead a team within the Access vertical, providing staffing direction, quality oversight, process improvement, and training to ensure productivity goals and service standards are consistently achieved.
The role requires advanced knowledge of payer requirements, authorization processes, insurance benefits, and pharmacy operations. The Supervisor, Access partners closely with pharmacy leadership, intake, and clinical teams to resolve escalations, implement best practices, and drive operational excellence.
Schedule:
Monday - Friday 8 am-5:30 pm MST
We Offer:
• Competitive Pay
• Health, Dental, Vision & Life Insurance
• Company-Paid Short & Long-Term Disability
• Flexible Schedules & Paid Time Off
• Tuition Reimbursement
• Employee Discount Program & DailyPay
• 401k
• Pet Insurance
Responsibilities Supervises Access staff (Prior Authorization and Benefit Investigation) to maintain a positive and productive work environment, fostering teamwork, engagement, and retentionRecruits, selects, trains, evaluates, and coaches staff; provides ongoing performance management including corrective actions and development planningManages daily workflow, assignments, and staffing to ensure timely completion of benefit verification and prior authorization requestsProvides oversight and feedback for on-site and off-site teamsMonitors adherence to policies, procedures, and productivity standards; audit cases for accuracy, compliance, and qualityAnalyzes workflow queues and trends (e.g., rejections, No-Go cases, appeals, escalations) to identify opportunities for process improvementsPartners with pharmacy leadership to design, approve, and implement workflow enhancements and operational initiativesEnsures compliance with all state/federal regulations and patient confidentiality requirementsServes as a subject matter expert for benefit verification, prior authorization, payer portals, copay assistance programs, and claim adjudicationOversees completion of insurance verification, including pharmacy and medical coverage, prior authorization initiation, and documentation of outcomesHandles escalated or complex cases, working with payers, prescribers, and patients to resolve access barriersProvides guidance to providers and patients on documentation, appeals, and payer requirementsCommunicates effectively with pharmacy operations, nursing, corporate teams, prescribers, and patients to resolve issues and share updatesPartners with leadership on reporting, metrics, and strategic initiatives related to Access servicesSupports training initiatives, system access, and troubleshooting of web tools (e.g., CoverMyMeds, payer portals)Maintains a safe, clean, and compliant pharmacy environmentSupervisory Responsibility: Yes
Qualifications High School Diploma/GED required; Associate’s or Bachelor’s degree preferred4+ years of pharmacy, benefit verification, or prior authorization experience required1+ years of supervisory or leadership experience required (2+ preferred)Specialty pharmacy experience strongly desiredAdvanced knowledge of prior authorization processes, benefit investigation, payer coverage requirements, and pharmacy insurance claimsFamiliarity with Medicare, Medicaid, and commercial insurance plansStrong leadership, coaching, and team development skillsIn-depth knowledge of pharmacy insurance, benefit verification, prior authorization platforms, and claims adjudicationExcellent interpersonal and communication skills; able to work across all levels of staff and managementAbility to manage multiple priorities in a fast-paced environmentStrong organizational, analytical, and problem-solving skillsHigh attention to detail with commitment to accuracy and compliancePercentage of Travel: 0-25%Driving Position: No
**To perform this role will require frequently sitting, standing, walking, and typing on a keyboard with fingers, and occasionally bending, reaching, and climbing (stairs/ladders). The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**
About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.Salary Range USD $28.00 - $33.00 / Hour