Manager - Corp Financial Svc (Billing & Reimbursement) – Orlando, FL
Company: Curascript. An Express Scripts Company
Please click here to apply for the position.
Description
ABOUT EXPRESS SCRIPTS
At Express Scripts, a Fortune 150 company headquartered in St. Louis, we provide pharmacy benefit management services to more than 50 million people.
Since 1986, the company's legacy of independence ensures that our interests are aligned with plan sponsors and their members.
Our mission is to make the use of prescription drugs safer and more affordable. Be part of a team that was named to Fortune's 2008 list of "America's Most Admired Companies."
As an employee you can be proud of each day's accomplishments knowing you're improving the quality of life of millions of people everyday. How many people can say that about their jobs?
ABOUT CURASCRIPT
At CuraScript, we are dedicated to the delivery of extraordinary care, one patient at a time. Providing affordable, high quality care for complex chronic conditions requires cooperation among many healthcare experts. CuraScript offers a broad range of services for physicians, health plan sponsors, and pharmaceutical manufacturers to support the delivery of that care. Committed to our core values of compassion, integrity and quality, we measure our success through healthy outcomes, satisfied clients and clarity of vision to support the hundreds of new life-changing biopharmaceutical drugs that will help patients in the decades to come.
CuraScript, a wholly owned subsidiary of Express Scripts, is a leading national provider of specialty pharmacy services. CuraScript offers a broad range of healthcare products and services for individuals with chronic health conditions, such as growth hormone deficiencies, hepatitis C, hemophilia, HIV/AIDS, oncology, multiple sclerosis, and rheumatoid arthritis. CuraScript provides comprehensive patient management services including clinical case management programs, counseling, education, outcomes measurement, social services, and reimbursement services. CuraScript Wholesale Services provides customized supply chain solutions for the biotech industry.
ABOUT THE DEPARTMENT
Finance's primary responsibilities include financial reporting, corporate taxes, accounts payable, billing and collections, budget development and monitoring, underwriting, cash management, risk management, SEC reporting, mergers and acquisitions activity, payroll, disaster recovery planning, internal audit and investor relations.
RESPONSIBILITIES
Handle This position is responsible for managing, organizing, monitoring and troubleshooting the Billing & Payers Collections team to perform within the following collection quality standards:
Responsible for accurate and complete billing of all medical claims for services rendered by Specialty Pharmacy both through paper and electronic means. Review of claims to ensure acceptance by payer. Review of claims to ensure billing accuracy. Review of reports to determine that all amounts have been appropriately billed. Provide assistance to team members in answering questions and providing training on process and task.
Plans and produces work plan to attain and maintain billing no more than +1 day from date of shipment.
Plans and produces work plan to attain and maintain DSO of less than 36 days.
Meet all established monthly cash targets.
The successful candidate will demonstrate a strong ability to motivate and train both billing and collections team to perform at peak efficiency, will demonstrate a thorough knowledge of Insurance Payers, and will work with all outside departments to meet cash target while maintaining compliance as a company.
ESSENTIAL FUNCTIONS:
1.Develops short & long-term goals for department and plan of implementation to bring to completion for on-going success of department.
2.Bills to third party payers via electronic or manual processes daily. Reviews billing exceptions to determine root cause reporting adverse findings to department management for escalation to external departments.
3.Manages a group of Exempt Supervisors and their corresponding teams to ensure maximum efficiency is kept and quality goals are met. Routinely audits paid claims to determine billing accuracy and appropriate calculation of contractual allowances.
4.Records compliance of supervisors regarding all aspects of employee management including mentoring, auditing, productivity monitoring & coaching for success. Assist supervisor in processing of daily reports; answering team¿s questions; providing training to process and or task. Escalation of employee issues and or concerns to management.
5. Meet productivity standards, clean claims billed accurately within 24 hours of being marked shipped complete.
6. Ability to interpret data for staffing and improvements as necessary to manage change
while trying to maintain consistencies in employee tasks. Corresponds with director on
employee/HR issues, state of the department and any service issues involving key
clients or legal risk issues to the company.
7. Drives leadership meetings with direct reports to pass on information, strategize projects
and keep all lines of communication open.
Requirements
Minimum of 3 years in Leadership role, with experience in managing exempt level employees preferred. 1 year experience in insurance background or health related field required. Bachelors Degree preferred. Must possess excellent oral and written communication skills and be able to host meetings with large groups of people. Must know how to interpret data/metrics within the database system and within the staffing tools utilized to find deficiencies. Strong knowledge of Word, Excel & Power Point preferred.
Demonstrate superior leadership
Organizational and follow-up skills
4-5 years experience related to medical billing or insurance related field
Strong mathematical skills
Medical bill coding knowledge preferred
EEO STATEMENT
Express Scripts is an Equal Employment Opportunity Employer and will not discriminate against or harass any applicant or employee on any grounds prohibited under any federal, state or local law, including race, creed, color, religion, sex, national origin, age, disability, sexual orientation, marital status or membership in any other legally protected class. None of the questions in our application are intended to elicit information regarding any protected characteristics, nor imply any limitation, illegal preferences or discrimination based up non-job related information or protected characteristics
BENEFITS
Express Scripts is committed to providing a quality benefits program that responds competitively to employee needs. This translates into our 2007 Benefits Program, which represents a valuable component of total compensation. Most benefits begin on the first day of the second full month following your start date. Specific benefits are available to full-time (30+ hours/week) and part-time (24-29 hours/week) employees.
Health Plan
Dental Plan
Pharmacy Benefits
Vision Plan
Basic Life/AD&D
Supplemental Life
Flexible Spending Accounts (Health Care & Dependent Care)
Short Term Disability
Long Term Disability
Tuition Reimbursement
401(k) Plan
Employee Stock Purchase Plan
Financial Planning
Paid Time Off, bereavement, jury duty
In-house education and professional development resources
Coverage for domestic partners
Business casual dress policy
Adoption assistance
Employee Assistance Program
GlobalFit Health Club Discount Program
Please click here to apply for the position.
