Reimbursement Operations Supervisor

McKesson - Scottsdale, AZ (30+ days ago)3.6


McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. At McKesson Specialty Health, our products and services span the full continuum of specialty patient care. From the initial phases of a product life cycle and the distribution of specialty drugs, to fully integrated healthcare technology systems, practice management support, and ultimately to patient care in the communities where they live, we empower the community patient care delivery system by helping community practices advance the science, technology and quality of care.

We have a vision —that the long-term vibrancy of community care will be achieved through the leadership of physicians committed to clinical excellence and innovation, enabled by close collaboration with our organization and our deep clinical, operational and technological expertise.Every single McKesson employee contributes to our mission—by joining McKesson Specialty Health you act as a catalyst in a chain of events that helps millions of people all over the globe. 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
Reimbursement Operations Supervisor

Position Description

Works in a fast paced, high-volume contact center environment with a variety of product support programs managing complex reimbursement issues. This position is responsible for supervisory, fiscal, and administrative workflow functions, applicable to reimbursement support programs. This position will give direction, resolve problems and be accountable for setting deadlines to ensure timely completion of work and performance guarantees. This position is responsible for addressing escalated reimbursement questions from patients, insurance companies, providers, and clients specific to pharmaceutical products. Interacts with both internal and external business partners to achieve optimal coverage and reimbursement for pharmaceutical products.

Key Responsibilities
%

1.

Provides daily operations support to frontline staff to effectively respond to escalated issues and complex cases referred from pharmacy specialists, reimbursement specialists, and customers.

20

2.

Monitors workload and assigns daily work to frontline staff to ensure productivity levels are achieved.

20

3.

Monitors telephone calls and reviews case documentation to ensure quality and accuracy of frontline staff output.

20

4.

Works closely with Reimbursement Manager to assure that McKesson is in compliance with all government regulatory anti-fraud and abuse statutes.

10

5.

Evaluates current policies and procedures and develops improved standardized processes related to Reimbursement services in order to maximize productivity and quality excellence thus achieving department objectives.

10

6.

Interacts with various departments, as needed, to support ongoing Reimbursement activities and quality improvement efforts.

10

7.

Administers company and local business unit policies in a consistent and fair manner.

10

100%
Qualifications
Minimum Requirements
3+ years' customer service experience and demonstrated leadership skills, depending on area of assignment may be required to have relevant healthcare/insurance experience

Critical Skills
  • 5 years of reimbursement healthcare and supervisory/management related experience
  • Experience in the healthcare industry including, but not limited to, Medicare and/or Medicaid program administration, insurance verification and/or claim adjudication, physician’s office or outpatient billing, pharmacy and/or pharmaceutical manufacturers
  • Must be able to analyze specific data and prepare written reports for management and client communications
  • 2-3 years of call center experience preferred
Additional Knowledge/Skills
  • Solid knowledge of customer service policies, practices and systems, and demonstrates leadership skills
  • Strong problem solving and decision making skills
  • Ability to effectively handle multiple priorities within a changing environment
  • Strong oral and written communication skills
  • Strong organizational skills
  • Proficiency with MS Outlook & MS Office (strong Excel skills preferred)
  • ICD-10, HCPCS, CPT experience
Education
4-year degree in business or related field or equivalent experience

Physical Requirements
Professional office environment

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-Arizona-Scottsdale

Job: Customer Care
Organization: McKesson Specialty Health
Schedule: Regular
Shift: Standard

Job Type: Full-time

Day Job

Job Posting: Aug 13, 2018