AbbVie Supervisor, Patient Care Coordinator in North Chicago, Illinois
AbbVie’s mission is to discover and deliver innovative medicines that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people’s lives across several key therapeutic areas: immunology, oncology, neuroscience, eye care, virology, women’s health and gastroenterology, in addition to products and services across its Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com . Follow @abbvie on Twitter at https://twitter.com/abbvie , Facebook at https://www.facebook.com/AbbVieGlobal , Instagram , YouTube at https://www.youtube.com/user/AbbVie and LinkedIn at https://www.linkedin.com/company/abbvie .
The Patient Care Coordinator Supervisor provides leadership, support, and supervision for the team. This individual is a subject matter expert on commercial pharmacy, major medical, and government insurance plans, prior authorizations, appeals, and alternate coverage referrals. The supervisor ensures that all day to day activities of the team operate smoothly and seamlessly to provide the best customer experience for patients. This position is responsible for ensuring all performance metrics, workload deliverables and customer services activities are completed in alignment with a high touch business model.
•Supervise and oversee Patient Care Coordinators (PCCs) responsible for assisting patients. Work proactively with staff and cross-functional groups to develop creative solutions to challenging patient access issues regarding prior authorization, financial situations and denied coverage requests to ensure patient care.
•Monitor work flow and adjust workload and staffing requirements to ensure that all activities are addressed in a timely and efficient manner.
•Monitor calls and perform case reviews to ensure accuracy of information, adherence to policies, and excellent customer service. Provide additional coaching and training to individuals as needed. Meet regularly with direct reports to provide direct feedback on their performance and progress against goals. Responsible for writing and communicating performance reviews.
•Perform administrative tasks such as work hour scheduling, attendance monitoring and counseling, vacation request scheduling, and overtime scheduling. Participate in the hiring process and handle all employee issues for their direct reports.
•Use effective coaching and management techniques to maintain a highly motivated and interactive work staff.
•Meet or exceed department standards relative to performance metrics. Take responsibility and accountability for the day-to-day execution of tasks and is responsible for providing periodic progress reports on goals and metrics. Elevate issues as appropriate.
•Consistently build and maintain collaborative relationships cross-functionally to ensure a seamless customer experience for patients.
•Identify process improvements to increase operational efficiencies and develop action plan for execution. Assist with the implementation of new projects and products.
•Understand and comply with all required training, including adherence the policies and procedures of the business and AbbVie.
•Perform additional tasks, activities, and projects as deemed necessary by management.
•Bachelor’s degree or Associate Degree in health sciences or business preferred. Comparable or relevant experience will be considered.
•3-5 years of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization, appeals, and specialty pharmacy operations.
•1-2 years supervisory experience in a call center, large physician, managed care, or healthcare insurance setting desired.
•Demonstrate strong, accurate technical skills. Detail oriented. Thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations.
•Proven leadership and coaching skills. Demonstrated ability to lead and participate within a team, manage multiple priorities and meet associated timelines while maintaining accuracy.
•Professional written and verbal communication skills to interact with and build and maintain relationships with all levels of the organization. Maintains a positive service image at all times even when dealing with challenging issues and unsatisfied customers.
•Proven organizational, time management, and problem solving skills, elevating to management when appropriate.
•Skilled with the use of the Microsoft Office suite of products and the ability to use and effectively learn and navigate other computer systems.
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Equal Employment Opportunity
At AbbVie, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients. As an equal opportunity employer we do not discriminate on the basis of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information gender identity or expression, sexual orientation, marital status, protected veteran status, or any other legally protected characteristic.
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