Symbria Rx Services is hiring for a Process Improvement Specialist!

POSITION SUMMARY 

The Process Improvement Specialist is primarily responsible for identifying opportunities to eliminate lost revenue or unnecessary costs due to inefficient practices as it relates to transactions and workflows. 

📅 If you’d like to learn more about the role or have questions, feel free to schedule a quick call with me here: Book time with Jessica Tyler

Create, document, implement and oversee processes and procedures for billing for Vaccine clinics. Responsibilities include:

• Processes and procedures for accepting patients/customers;
• Create necessary forms for successful implementation of Vaccine clinic billing;
• Ascertain appropriate insurance information is collected;
• Ensure compliance with processes and procedures;
• Identify metrics and develop reports to monitor results; and
• Monitor results and implement additional improvements, as necessary.

Oversee processes and procedures related to transactions which result in financial losses or less than favorable reimbursement.

• Analyze transactions which result in financial losses or sub optimal reimbursement;
• Assess workflow, redesign, and create policies and procedures so that transactions with unfavorable reimbursement are minimized both retrospectively and real time;
• Ensure compliance with processes and procedures;
• Identify metrics and develop reports to monitor results;
• Monitor results and implement additional improvements as necessary.

Design and implement processes and procedures to minimize transactional costs associated with software utilization.

• Review and analyze pre- edit processes and procedures;
• Design workflow to manage claims submission process that do not require utilization of fee for service software;
• Leverage utilization of software that is not require additional fees;
• Ensure compliance with processes and procedures;
• Identify metrics and develop reports to monitor results; and
• Monitor results and implement additional improvements as necessary.
• Design and implement processes to reduce labor and drug costs associated with back-up pharmacy utilization.
• Ensure compliance with processes and procedures;
• Identify metrics and develop reports to monitor results; and
• Monitor results and implement additional improvements as necessary.
• Optimize transactional client notification procedures to reduce unnecessary communications and improve efficiency.
• Assist pharmacy customers with reducing out of pocket expense.
• Additional projects as assigned.
• Any and all duties as assigned.

To perform this job successfully, the ability to perform each essential duty satisfactorily is necessary and the qualifications listed below are representative of the knowledge, skill, and/or ability required: 

• High school degree or equivalent; Certified Pharmacy Technician. 
• Experience with Long-Term Care Pharmacies, minimum five (5) years. 
• Strong critical thinking and problem-solving skills. 
• Familiarity with long term care pharmacy software and document management systems. 
• Knowledge of insurance and adjudication billing processes. 
• Ability to interact with clients and customers. 
• Ability to interact with other departments. 
• Creativity and ability to re-engineer processes.  

Why work for us?

At Symbria our employees act like owners – because we are owners!  As one of the few 100% employee-owned healthcare providers, our focus remains on delivering best-in-class services within our Pharmacy, Rehabilitation and Well-Being operations, which allows our clients to improve the lives and well-being of their patients and residents.  Our teams utilize insights and analytics to drive better health outcomes for our partnered post-acute and senior living communities while providing them with flexible service options.

Symbria’s Core Values drive the way we partner with those clients, their patients and residents and the way our diverse employee-owners work together:

• Integrity – Honest, Fairness and ethics
• Compassion – Commitment to serving seniors
• Stewardship – Maximizing mission and margin
• Innovation – Striving to enhance our value to your organization
• Teamwork – Working together unselfishly toward goals

As an employee-owner, Symbria’s success becomes your success.  In addition, we provide:

• Competitive pay, aligned with market guidelines
• Full Benefits Package, including very generous paid time off plans
• Professional liability coverage
• 100% employer-funded ESOP retirement plan
• 401(k) and Roth(k) plans
• Continuing education
• Credit union membership

All applicants will be afforded equal opportunity without discrimination because of race, color, religion, sex, sexual orientation, marital status, order of protection status, national origin or ancestry, citizenship status, age, physical or mental disability unrelated to ability, military status or an unfavorable discharge from military service.