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Cash Applications Manager

3 months ago

Elk Grove, United States Orsini Pharmaceutical Services Full time

**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**

***:
The Cash Applications Manager will be responsible for overseeing the Cash Posting processes to ensure the timely and accurate Deposits from all payers for Pharmacy, Home Infusion and Specialty product lines. Ensures that the team is trained and motivated. Validates the accuracy of the team's work and ensures that performance goals are met. The role requires a deep understanding of medical Cash reconciliation processes, strong leadership skills, and ability to implement effective strategies for optimizing the Cash Posting process. Responsible for problem solving issues with Unapplied & Unidentified Deposits, EFT/ERA Enrollments, Auto-posting, Reconciliation of Correspondence, managing productivity and assigning daily tasks to staff. Interfaces with a variety of internal and external customers to ensure the best patient experience in the most efficient manner. Ensures that all HIPAA, policies/procedures and compliance requirements are met within the department.

**REQUIRED KNOWLEDGE, SKILLS & TRAINING**
- Minimum 5 years of experience in patient accounts, Benefit Verification and/or collections with specialty pharmacy experience.
- Knowledge of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
- Maintains a broad range knowledge of insurance plans, medical terminology, billing procedures, government regulations, and HCPCS billing codes.
- Demonstrates knowledge of Microsoft Outlook/Excel and Word using them effectively in performing job duties.
- Familiar with the authorization process, appeal process and other processes/procedures integral to AR collection efforts.
- Able to multitask and utilize excel in a fast-paced working environment.
- Able to problem solve and assist coworkers through the thought process of solving problems.
- Collaborate on best practices for efficiency and streamline communication throughout teams.
- Minimum of 2 to 3 years of previous experience in a supervisory role required.

**ESSENTIAL JOB DUTIES**:

- Manage and lead a team of cash posting specialists. Provide guidance, training, and support to ensure team members meet performance targets. Foster a positive and collaborative work environment.
- Responsible for annual performance reviews. Monitor and analyze performance indicators (KPIs) related to collections. Implement corrective actions to address performance gaps and enhance overall team efficiency.
- Develop and implement effective cash reconciliation strategies to maximize revenue recovery. Analyze trends and propose solutions for improvement.
- Assigns accounts and works with management to review open A/R and look for payer trends.
- Responsible for helping to develop policies and procedures and process improvement strategies within the department. Communicates procedure changes to departments affected by that change.
- Able to trouble shoot and resolve escalated posting issues while monitoring and reporting payment trends to senior management. Collaborate with the billing team to address billing discrepancies and resolve issues impacting collections. Ensure accurate and timely submission of claims to insurance providers. Stay informed about changes in healthcare regulations and billing requirements. Ensure compliance with relevant laws, regulations, and industry standards.
- Identifies short payments, over payments, unpaid claims, and resolves accordingly. Reviews residual balances after payments are applied and generates necessary adjustments, overpayment notification, refund requests. Generate and analyze reports on cash performance for presentation to senior management. Provide insights into trends, c