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Reimbursement Specialist

Company McKesson
Location Canton, MI
Update 5 Day ago
300
McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Medical-Surgical provides medical-surgical supplies and equipment to physicians' offices, home care agencies, long-term care facilities and surgery centers. Our catalog includes more than 150,000 national brand products from bandages to exam tables, plus McKesson's own line of high-quality medical-surgical products. We're proud to be the only national distributor serving the entire continuum of healthcare.

Every single McKesson employee contributes to our mission—by joining McKesson Medical-Surgical you act as a catalyst in a chain of events that helps millions of people all over the globe. Your expertise, drive and passion can help us improve everything we touch, from providers to payors to pharmacies. You’ll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that’s vital to us all.

Join our team of leaders to begin a rewarding career.

Current Need

Understand EOBs (Explanation of Benefits) denials/allowances

Resolve and troubleshoot outstanding claims through in-depth research and by utilizing insurance websites and provider services to determine what action is needed to obtain reimbursement

Track progress through claims coding, A/R reports, and follow up

Handle all incoming calls from customers and insurance companies professionally to solve billing questions and problems

Identify uncollectable balances and code and adjust the A/R billing system as necessary upon approval

Communicate special pricing issues appropriately to team leads

Recognize and communicate denial trends and payer issues appropriately to team leads and payer liaisons

Track and follow your progress through A/R aging reports and billed dashboard reporting

Document all work completed in detail on each account through notes in billing system

Process refund requests related to product returns, overpayments or incorrect billings.

Maintain high productivity level measured through metrics

Maintain high accuracy level measured through audits

Work special projects assigned by leadership

Position Description
Responsible for one or more of the following activities: first/third party billing utilizing the patient financial information system, adjudicating claims, follow-up reviews, processing/tracking of submissions, remittances and rejections, inpatient/outpatient registration, cashiering, credit and collections, charge master maintenance, follow-up with insurance companies and patients to ensure that all patient accounts are paid in a timely fashion. Also responsible for performing a wide variety of duties to provide for the efficient and effective management of accounts receivable.

Qualifications

Minimum Requirements
2+ years experience within a healthcare environment. Medical claims experience.

Additional Knowledge & Skills
Knowledge of insurance company practices regarding reimbursement. Understanding of CPT and ICD codes. Strong verbal and written skills in order to effectively communicate with co-workers, insurance carriers, patients and medical office personnel.

Education
High School diploma or equivalent

Physical Requirements
General Office Demands

Benefits & Company Statement
McKesson believes superior performance – individual and team – that helps us drive innovations and solutions to promote better health should be recognized and rewarded. We provide a competitive compensation program to attract, retain and motivate a high-performance workforce, and it’s flexible enough to meet the different needs of our diverse employee population.

We are in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting.

But we can’t do it without you. Every single McKesson employee contributes to our mission—whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. Talented, compassionate people are the future of our company—and of healthcare. At McKesson, you’ll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that’s vital to us all.

McKesson is an equal opportunity and affirmative action employer – minorities/females/veterans/persons with disabilities.

Qualified applicants will not be disqualified from consideration for employment based upon criminal history.

Agency Statement
No agencies please.
Primary Location : United States-Michigan-Canton

Job : Medical
Organization : McKesson Medical Surgical
Schedule : Regular
Shift : Standard

Job Type : Full-time

Day Job

Job Posting : Sep 8, 2017