Full job description McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you.
This is a hybrid position that requires living within a commuting distance of The Woodlands, Texas. Schedule: Monday through Friday, 8am to 5pm Central Time
Job Description: Verifies insurance benefits for new patient referrals and re-verifies existing patient benefits as indicated by policy. Obtains pre-certifications, pre-determinations, and authorizations for services per insurance guidelines. Evaluates profitability of therapies and communicates issues.
Essential Functions and Duties: Manage work queue to department standards for productivity and quality.
Verifies insurance benefits for new patient referrals.
Re-verifies insurance benefits for existing patients.
Accurately evaluates charge and reimbursement estimates for infusion therapies.
Reviews all medical documentation against medical policy and initiates/obtains pre-determination, pre-certification, and authorizations as needed.
Follow-up on pending pre-certifications and/or pre-determinations until outcome decided.
Updates and maintains insurance and authorization information in billing software.
Obtains PCP referrals as needed.
Completes special projects as assigned.
Performs other job-related duties as assigned.
Minimum Requirements: Typically requires 1+ years of related experience.
Critical Skills: Must be able to communicate effectively, both orally and in writing.
Must demonstrate an understanding of reimbursement practices including government program regulation and managed care contracting.
Experience working in, and managing changing priorities, in a high volume, fast-paced work environment.
Excellent personal computing skills and a working knowledge of MS Office software.
Maintains clear communication with customers regarding mutual expectations. Takes personal responsibility and accountability for correcting customer-service problems.
Additional Knowledge and Skills: Ability to work well as part of a collaborative team as well as independently.
Experience in a healthcare industry, preferably intake/patient access experience.
Physical Requirements: Professional office environment.
Career Level – IC – Business Support – B2
At McKesson, we care about the well-being of the patients and communities we serve, and that starts with caring for our people. That's why we have a Total Rewards package that includes comprehensive benefits to support physical, mental, and financial well-being. Our Total Rewards offerings serve the different needs of our diverse employee population and ensure they are the healthiest versions of themselves. For more information regarding benefits at McKesson, please click here.
As part of Total Rewards, we are proud to offer a competitive compensation package at McKesson. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered.
Our Base Pay Range for this position
$15.97 - $26.61 McKesson is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to . Resumes or CVs submitted to this email box will not be accepted.
Current employees must apply through the internal career site.
Join us at McKesson!
