McKesson Med Collections Specialist in Houston, Texas

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.

Position Description

Collections Specialists will be responsible for the timely and accurate statusing and tracking of payments, denials and adjustments on the patient’s outstanding accounts receivables via phone and or electronic contact with the payor. Accurate and detailed notes will be documented in the patient’s ledger of action taken. May require research into insurance carrier’s medical criteria for implementing appeals process. Qualified candidates must have excellent written and verbal communication skills, advanced computer literacy, and the ability to multi-task in a fast-paced work environment. Under the direction of the Reimbursement Manager, candidates will be responsible for following up on the accounts timely to ensure payment is made.

Essential Functions & Duties

  • Statusing of accounts by cross referencing open A/R to insurance carrier contact via phone or electronic remit information.

  • Enter information in appropriate fields in the ledger for the information to be uploaded overnight to reports.

  • Identification of underpayment from insurance companies.

  • Appeals and rebills of denied charges, rejected claims or any other issues that affect reimbursement.

  • Understanding carrier’s criteria and appeals process and where to obtain medical records and/or other necessary documentation.

  • Follow up on appeals and rebills in a timely manner.

  • Document information in the ledger in a clear and accurate manner to insure others can follow documentation.

  • Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations

  • Other duties as assigned by management.

Minimum Requirements

2 years' credit and/ or collection related or experience, depending on area of assignment may be required to have relevant healthcare/insurance experience

Critical Skills

  • Insurance collections experience within the healthcare industry.

  • 2 years’ knowledge of insurance benefits which includes: deductibles, co-insurance, out-of-pocket, plan exclusions, and prior authorization requirements.

  • Must demonstrate an understanding of reimbursement payment practices including deductibles, co-insurance and contractual discounts.

  • Must be able to communicate effectively, both orally and in writing

  • Exceptional organizational skills and ensure attention to detail.

  • Excellent personal computing skills and a working knowledge of MS Office software.

Additional Knowledge & Skills

  • Must demonstrate ability to work well in a team dynamic, as well as independently.

  • Adaptability to handle changing priorities in a high volume, fast-paced work environment.

Education

HS Diploma or equivalent

Physical Requirements

Professional office environment – availability to work between the hours of 7:00am - 6:00pm CST

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.

Job: Finance and Accounting

Organization: McKesson Specialty Health

Title: Med Collections Specialist

Location: Texas-Houston

Requisition ID: 18002671