Manager Cash Applications at Paradigm in Orlando, Florida

Job Description:

Location:
Req Number: Req #1042
Date Posted: Thursday, May 16, 2024

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

The Manager, Cash Applications is responsible for all activities related to cash application, client refunds and provider payments of the division’s products. The Manager, Cash Applications is also responsible for ensuring the cash conversion cycle is optimized and key cash flow metrics are maintained. This position will also manage a staff of accounting & collections assistants and will ensure timely payment of providers as well as settle pay discrepancy issues.

The Manager, Cash Applications must effectively interface with and collaborate with several key partner departments (Account Mgmt., Operations, and Provider Services) as well as within Finance (Accounting).

• This is a remote position

DUTIES AND RESPONSIBILITIES:

• Manage staff of cash applications, provider payments, unapplied cash, assuring department is staffed appropriate to the needs of the division and that staff is performing their duties effectively.
• Assure SOPs are created for all processes and that they are current.
• Responsible for process improvement initiatives related to revenue cycle activities to maximize the performance and integrity of the revenue cycle process.
• Analyze, troubleshoot, and measure performance for processes and workflow affecting the overall revenue cycle.
• Works closely with other department supervisors/coordinators to ensure proper billing practices (coding, pricing, adjustments, client communications, etc.) impacting collections.
• Monitors aged accounts and verifies appropriate cash application, client refunds and unapplied cash resolved timely.
• Resolves escalated reimbursement issues with Payers and systems for optimal management of accounts receivable.
• Interacts with clients to ensure proper protocols and processes are being adhered to by all parties.
• Participates in daily collections functions (AR follow-up, payment posting, reconciliation, etc.) Manages AR operations; design & implement necessary job guides, workflows, policies, practices, and procedures related to revenue cycle initiatives.
• Regularly provides upper management with revenue cycle status including reports, metrics, and presentations.
• Participates in weekly, monthly, and quarterly meetings with management as it relates to delinquent A/R review calls and revenue meetings with clients.
• Preparing relevant information, analysis, and suggestions; tracking action items from the meetings and follow up.
• Ensure staff is being managed properly and efficiently and determining appropriate corrective action to take when confronted with accounts receivable discrepancies while taking initiative to assure that corrective action is completed.
• Serves as a customer service leader, resolving both internal and external customer issues within an appropriate time frame.
• Showing persistence and seeking alternatives when challenges arise.
• Maintains a current understanding and working knowledge of Workers Compensation and contracts for programs and networks which PSN is actively participating in.

SUPERVISORY RESPONSIBILITIES:

• Mentor, train, and supervise team members directly and indirectly, review their work and provide effective constructive feedback.
• Ensure all team members understand, are trained in, and comply with Paradigm’s security requirements and policies.
• Ensure all team members have the minimum level of IT system access required to effectively complete their Paradigm responsibilities.

QUALIFICATION REQUIREMENTS:

• Minimum 5 years of applicable work experience as a leader in healthcare financial operations or revenue cycle departments with proven success in Finance or Collections.
• Workers’ compensation or applicable healthcare experience is required.
• Supervision of staff.
• Analytical/problem solving skills.
• Attention to detail.
• Account reconciliation.
• Accurate and comprehensive reporting.
• Excellent communication, both verbal and written.
• Understanding of Accounts Receivable and Collections, in a business-to-business environment.
• Data entry skills.
• Strong attention to detail, goal oriented.
• Commitment to excellent customer service.
• Knowledge of medical billing and medical collection procedures.
• Proven success in reducing DSO and collections.
• Ability to prioritize and manage multiple responsibilities.
• Technical Capacity including advanced knowledge of Microsoft Office, specifically Excel and Access.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Other details

Job Family Active
Pay Type Salary
Min Hiring Rate $75,300.00
Max Hiring Rate $128,000.00

PI241032610

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