Orsini Specialty Pharmacy
About Orsini Specialty Pharmacy Providing patients with comprehensive and compassionate care since 1987, Orsini Specialty Pharmacy is a leader in rare diseases and gene therapies.
Orsini partners with biopharma innovators, healthcare providers, and payors to support patients and their families in accessing revolutionary treatments for rare diseases.
Through integrated pharmacy distribution, patient services, clinical management and convenient home infusion services, Orsini delivers customized solutions that simplify how patients connect to advanced therapies.
Orsini's high-touch care model centers on experienced and trained therapy care teams that provide personalized patient care to ensure that No Patient is Left Behind(TM).
Orsini Specialty Pharmacy holds accreditations with the Accreditation Commission for Health Care (ACHC), The Joint Commission, URAC and NABP.
Orsini has earned URAC's Rare Disease Pharmacy Center of Excellence Designation and ACHC's Distinction in Rare Diseases and Orphan Drugs.
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(TM).
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 POSITION SUMMARYThe Project Manager will be responsible for analyzing and auditing the Reimbursement trends to ensure the timely and accurate collection of outstanding accounts receivable from all payers for Pharmacy, Home Infusion and Specialty product lines.
Collaborates with various departments to ensure resolution of Payer and Contract issues, by gathering claims data, providing support and directive to various departments to ensure proper education and training is implemented.
The role requires a deep understanding of medical billing practices, strong leadership skills, and ability to implement effective startegies for optimizing the collections process.
Responsible for problem solving issues with high dollar AR accounts, managing productivity and assigning daily collection 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 Bachelors Degree required, advanced degree preferred.
Minimum of seven years of professional business experience with significant accomplishments and track record in achieving coding, coverage and payment for medical services and developing new reimbursement support programs and services.
Minimum of seven years' experience working directly with managing reimbursement strategy and tactical execution including managing reimbursement support in the medical environment and or reimbursement consulting.
Thorough knowledge and understanding of the pharmaceutical reimbursement environment (government and private payers) including coverage, coding and payment as well as how to develop, implement and manage reimbursement assistance programs preferred.
Exceptional analytical and problem-solving skills and ability to work independently to develop effective reimbursement strategy and tactical programs/tools strongly preferred.
Strong interpersonal skills to influence/negotiate complex decisions and be a strong positive advocate for communicating the mission, objectives and results of the Accounts Receivable Team with stakeholders and building cross-functional relationships.
High level of verbal and written communication skills, credible with high level audience.
Strong analytical and business skills.
ESSENTIAL JOB DUTIES Work directly with public and private payers and drive reimbursement strategy for new and existing service offeringsDevelop and execute comprehensive reimbursement strategies to obtain coding, positive coverage decisions and appropriate payment from public and private payers.
Develop strategies to support the development of new lines of service providing a perspective on potential issues regarding reimbursement or procedure coding that will impact the successful launch of the service.
Serve as technical expert, in government reimbursement policies and areas of third party reimbursement, and a source for reimbursement information for internal (marketing, sales, clinical affairs) and external (customers, payers) customers.
Work directly with public and private payers and drive reimbursement strategy for new and existing service offerings.
Manage reimbursement programs to ensure compliance with legal and regulatory requirements.
EMPLOYEE
Benefits:
BCBSIL MedicalDelta DentalEyeMed Vision401kAccident & Critical IllnessLife InsurancePTO, Holiday Pay, and Floating HolidaysTuition ReimbursementAbout the Company:
Orsini Specialty Pharmacy.
Estimated Salary: $20 to $28 per hour based on qualifications.
Orsini partners with biopharma innovators, healthcare providers, and payors to support patients and their families in accessing revolutionary treatments for rare diseases.
Through integrated pharmacy distribution, patient services, clinical management and convenient home infusion services, Orsini delivers customized solutions that simplify how patients connect to advanced therapies.
Orsini's high-touch care model centers on experienced and trained therapy care teams that provide personalized patient care to ensure that No Patient is Left Behind(TM).
Orsini Specialty Pharmacy holds accreditations with the Accreditation Commission for Health Care (ACHC), The Joint Commission, URAC and NABP.
Orsini has earned URAC's Rare Disease Pharmacy Center of Excellence Designation and ACHC's Distinction in Rare Diseases and Orphan Drugs.
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(TM).
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 POSITION SUMMARYThe Project Manager will be responsible for analyzing and auditing the Reimbursement trends to ensure the timely and accurate collection of outstanding accounts receivable from all payers for Pharmacy, Home Infusion and Specialty product lines.
Collaborates with various departments to ensure resolution of Payer and Contract issues, by gathering claims data, providing support and directive to various departments to ensure proper education and training is implemented.
The role requires a deep understanding of medical billing practices, strong leadership skills, and ability to implement effective startegies for optimizing the collections process.
Responsible for problem solving issues with high dollar AR accounts, managing productivity and assigning daily collection 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 Bachelors Degree required, advanced degree preferred.
Minimum of seven years of professional business experience with significant accomplishments and track record in achieving coding, coverage and payment for medical services and developing new reimbursement support programs and services.
Minimum of seven years' experience working directly with managing reimbursement strategy and tactical execution including managing reimbursement support in the medical environment and or reimbursement consulting.
Thorough knowledge and understanding of the pharmaceutical reimbursement environment (government and private payers) including coverage, coding and payment as well as how to develop, implement and manage reimbursement assistance programs preferred.
Exceptional analytical and problem-solving skills and ability to work independently to develop effective reimbursement strategy and tactical programs/tools strongly preferred.
Strong interpersonal skills to influence/negotiate complex decisions and be a strong positive advocate for communicating the mission, objectives and results of the Accounts Receivable Team with stakeholders and building cross-functional relationships.
High level of verbal and written communication skills, credible with high level audience.
Strong analytical and business skills.
ESSENTIAL JOB DUTIES Work directly with public and private payers and drive reimbursement strategy for new and existing service offeringsDevelop and execute comprehensive reimbursement strategies to obtain coding, positive coverage decisions and appropriate payment from public and private payers.
Develop strategies to support the development of new lines of service providing a perspective on potential issues regarding reimbursement or procedure coding that will impact the successful launch of the service.
Serve as technical expert, in government reimbursement policies and areas of third party reimbursement, and a source for reimbursement information for internal (marketing, sales, clinical affairs) and external (customers, payers) customers.
Work directly with public and private payers and drive reimbursement strategy for new and existing service offerings.
Manage reimbursement programs to ensure compliance with legal and regulatory requirements.
EMPLOYEE
Benefits:
BCBSIL MedicalDelta DentalEyeMed Vision401kAccident & Critical IllnessLife InsurancePTO, Holiday Pay, and Floating HolidaysTuition ReimbursementAbout the Company:
Orsini Specialty Pharmacy.
Estimated Salary: $20 to $28 per hour based on qualifications.
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