Medical Billing Specialist Details

Medical Billing Specialist

McKesson - Houston, TX

Employment Type : Full-Time

McKesson requires new employees to be fully vaccinated for COVID-19 as defined by the CDC, subject to applicable, verified accommodation requests.

McKesson Corporation is a Fortune 8 company and is one of the largest providers of healthcare supply chain management solutions, retail pharmacy, medical & pharmaceutical supplies, healthcare technology, community oncology and specialty care in the United States with revenues of $231 billion in 2020. The company was founded in 1833 by John McKesson and Charles Olcott in New York with a focus on importing and wholesaling pharmaceutical products. United by our ICARE shared principles, McKesson's 80,000 employees work together every day to make better care possible around the globe - one product, one partner, one patient at a time.

Billing Specialist will be responsible for the timely and accurate billing of infusion drug and administration charges via paper, electronic or portal billing. Accurate and detailed review of PVR's (Patient Visit Reports) submitted by the nursing staff to ensure proper coding of charges. Must have excellent written and verbal communication skills, advanced computer literacy, ability to perform basic mathematical calculations and the ability to multi-task in a fast-paced work environment. Must demonstrate McKesson iLead principles of innovation, enterprise mindset, execution, leading change, and development of self and others in every aspect of role.

Key Responsibilities

• Complete all billing in queue
• Working claim rejections within clearinghouse
• Submit Medicaid claims via online portals
• Be self-managed and prioritize workload to meet the revenue goals
• Respond quickly to issues or concerns from customers and patients
• Maintain PHI and HIPAA compliance
• Performs other job-related duties as assigned by Management.

Critical Skills

• 2+ years relevant experience in Healthcare required
• 1+ year experience with patient advocacy, pharmacy or patient assistance programs required

• Must be able to demonstrate McKesson iLead principles that include: inspiring ideas that drive innovation; leverage open and candid communication while demonstrating respect for others; execute to ensure quality decisions by listening to diverse perspectives; advance to role model a positive, resilient approach to ambiguity and change, and develop self and others through intentionally investing in self-development and improvement of the team.
• Must have strong understanding of confidentiality of patient records and HIPAA compliance
• Independent worker, can set own timelines/deadlines and goals
• Excellent and effective business communication skills both verbally and in writing
• Must be proactive and take initiative
• Must be team oriented.
• Must demonstrate an understanding of reimbursement practices including government programs (Medicare, Medicaid), commercial programs, and how these payers coordinate benefits.
• Must demonstrate adaptability to handle changing priorities in a high volume, fast-paced work environment.
• Excellent personal computing skills and a working knowledge of MS Office software.
• Exceptional organizational skills and attention to detail.
• Maintains clear communication with customers regarding mutual expectations.
• Takes personal responsibility and accountability for correcting customer-service problems.

Additional Knowledge & Skills (Preferred or plus skills)

• Hospital Systems experience preferred but not necessary
• Knowledge of Medicaid, 3rd party insurance and other external foundations or funding programs for reimbursements a plus
• Adhere to McKesson ICARE and ILEAD standards in all interactions

Education

• High school Diploma

Must be authorized to work in the US. Sponsorship is not available for this position.

We take pride in our culture of connection and believe in a workplace where everyone can be their full, authentic self. We welcome and encourage veterans, individuals with disabilities and others with diverse perspectives to join our growing team. Your unique perspective and experience are valuable assets that can translate into a rewarding career path with us. Apply to join our team and help shape the future of healthcare!

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 McKessonTalentAcquisition@mckesson.com . 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!