Benefit Verification Supervisor - Remote

Description

About Orsini Specialty Pharmacy

Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind.

Our Mission

Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind.

LIVE IT Values

At the heart of our company culture, the Orsini LIVE IT core values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.

Leading Quality, Integrity, Valued Partner, Empathy, Innovation, Team-First

Salary Range: $55K-$60K

Position Summary

The Benefit Verification Admissions Supervisor will supervise and support a team of permanent and contingent Benefit Verification Representatives. The Benefit Verification Representatives are responsible for benefits investigations and verifications for complex drugs through major medical and pharmacy benefits. The Supervisor will provide oversight for the benefit verification team to ensure accurate verifications and data entry have been completed. The supervisor will ensure that the team is trained, growth, and motivated. They will assist with hiring staff for incremental growth or re-staffing open positions. The role will validate the accuracy of the team's work and ensure that performance goals are met. Interfaces with a variety of internal customers including account managers, sales, pharmacy managers, contingent workforce managers, manufacturer representatives, reimbursement and upper management. Ensures that all HIPAA, policies/procedures and compliance requirements are met within the department.

Required Knowledge, Skills & Training

• Extensive experience in benefits verification with expertise in major medical and pharmacy benefits.
• Strong leadership and people management skills with the ability to coach and develop a high-performing team.
• Proficiency in Excel and other data management tools to track operational efficiencies.
• In-depth knowledge of medical policies, insurance processes, and patient eligibility requirements.
• Excellent problem-solving and communication skills to navigate complex benefit investigations.
• Ability to manage multiple priorities in a fast-paced environment while ensuring accuracy and compliance
  
  

Essential Job Duties

• Leadership & Team Management – Supervise, Mentor, and provide performance feedback for Benefits Verification Representatives, ensuring a high-performing team.
• Operational Oversight – Monitor daily workflow, troubleshoot benefit rejections, and ensure timely and accurate processing of benefit verifications.
• Training and Development – Lead onboarding and continuous training efforts, ensuring employee understand the department processes, software systems, portals, and industry regulations.
• Process Improvement – Identify opportunities to enhance efficiencies, optimize verification workflows and implement best processes for accuracy and speed.
• Reporting & Data Analysis – Utilize reporting tools to track performance metrics, analyze trends, and support data-driven decision-making.
• Cross-functional Collaboration – Work closely with Admissions, Pharmacy, and Revenue Cycle Management team to resolve any benefit verifications or investigations needed.
  
  

Employee Benefits

• BCBSL Medical
• Delta Dental
• EyeMed Vision
• 401k
• Accident & Critical Illness
• Life Insurance
• PTO, Holiday Pay, and Floating Holidays
• Tuition Reimbursement