We now have a imaginative and prescient —that the lengthy-time period vibrancy of group care shall be achieved by means of the management of physicians dedicated to medical excellence and innovation, enabled by shut collaboration with our group and our deep medical, operational and technological experience. Each single McKesson worker contributes to our mission—by becoming a member of McKesson Specialty Well being you act as a catalyst in a sequence of occasions that helps tens of millions of individuals everywhere in the globe. You’ll collaborate on the merchandise and options that assist us perform our mission to enhance lives and advance healthcare. Working right here is your alternative to form an business that’s very important to us all.
Be a part of our workforce of leaders to start a rewarding profession.
Present Want
Place Description
Works in a quick paced, excessive-quantity contact middle setting to offer product particular reimbursement help to sufferers, healthcare suppliers, affected person advocates, and producer representatives. Will steadily work together by way of phone with business payers to conduct insurance verifications and profit investigations. Works every day with business payers to make sure applicable protection and reimbursement in quite a lot of therapeutic areas. Should have a strong working information of insurance plans and profit buildings so as to acquire detailed profit info and maximize plan advantages. Obtains payer particular prior authorization procedures and documentation necessities, if relevant, and facilitates the prior authorization course of for sufferers and healthcare suppliers. A basic understanding of Medicare and Medicaid packages is desired. Place might require sales, undertaking management and/or account coordination expertise relying on the precise program.
Key Duties
(Record the highest 5 to seven important obligations in precedence order):
%
1.
Contact payers to confirm affected person eligibility and product particular protection info.
50%
2.
Interface with physicians, advocates, sufferers, and producer representatives to acquire and supply drug particular protection info.
10%
three.
Present prior authorization help in addition to claims help, together with billing and coding directions, to physicians and/or workplace employees.
10%
four.
Present correct and well timed comply with-as much as all reimbursement inquires in accordance with program tips.
10%
5.
Be sure that the consumption info is correct and full with a purpose to carry out all reimbursement analysis.
10%
6.
Analysis and compile payer particular info for reimbursement database.
5%
7.
Make the most of inner assets to determine and supply alternate funding sources for sufferers with out insurance or enough protection by means of their insurer.
5%
100%
Qualifications
Minimal Necessities
2 years of healthcare associated reimbursement expertise.
Crucial Expertise
Expertise within the healthcare business together with, however not restricted to: insurance verification, doctor’s workplace or outpatient billing, pharmacy and/or pharmaceutical producers.
Should be capable of compose and doc profit investigation outcomes and put together written standing reviews to management regularly.
Further Information & Expertise
ICD-10, HCPCS and CPT expertise
Potential to successfully deal with a number of priorities inside a altering setting
Interpersonal expertise
Robust written and oral communication expertise
Robust organizational expertise
Pc literacy
Drawback fixing and choice making expertise
Schooling
Excessive Faculty diploma or equal
Bodily Necessities
Basic workplace calls for
Advantages & Firm Assertion
McKesson believes superior efficiency – particular person and staff – that helps us drive improvements and options to advertise higher well being must be acknowledged and rewarded. We offer a aggressive compensation program to draw, retain and encourage a excessive-efficiency workforce, and it’s versatile sufficient to satisfy the totally different wants of our numerous worker inhabitants.
We’re within the enterprise of higher well being and we contact the lives of sufferers in nearly each facet of healthcare. We companion with payers, hospitals, doctor workplaces, pharmacies, pharmaceutical corporations and others throughout the spectrum of care to construct more healthy organizations that ship higher care to sufferers in each setting.
However we will’t do it with out you. Each single McKesson worker contributes to our mission—no matter your title, no matter your position, you act as a catalyst in a sequence of occasions that helps tens of millions of individuals everywhere in the globe. Gifted, compassionate individuals are the way forward for our firm—and of healthcare. At McKesson, you’ll collaborate on the merchandise and options that assist us perform our mission to enhance lives and advance healthcare. Working right here is your alternative to form an business that’s very important to us all.
McKesson is an equal alternative and affirmative motion employer – minorities/females/veterans/individuals with disabilities.
Certified candidates won’t be disqualified from consideration for employment based mostly upon felony historical past.
Company Assertion
No businesses please.
Main Location
:
United States-Arizona-Scottsdale
Job
:
Medical
Group
:
McKesson Specialty Well being
Schedule
:
Common
Shift
:
Normal
Job Sort
:
Full-time
Day Job
Job Posting
:
Oct 12, 2016
SUBMIT YOUR CV HERE
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