McKesson Medicaid Reimbursement Team Lead in Moon Township, Pennsylvania
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.
McKesson Patient Care Solutions is currently hiring a Team Lead to support the Medicaid Reimbursement team. This position can be located in our Moon Township, PA or Richmond, VA office.
Responsible for directing the activities of the Medicaid Reimbursement collections team. Plans, organizes and operates one or more of the following functions for Reimbursement Services, Document Collections, Master file Administration and Records Management, participating in Payer Strategy meetings, staying abreast of changes in payer plans and reimbursement impacts. Stays abreast of potential changes in Federal Healthcare programs and ensures compliance with regulations of all Federal Healthcare programs, Health Insurance Portability and Accountability Act (HIPAA) and the requirements of third party payers.
Establishes and implements new policies/procedures/metrics to continually recognize efficiencies
Address daily questions/problems of team members and assist staff in bringing to resolutions
Work with team members and management to develop action plans to organize tasks or address problems
Ensure that all plans written by the team are implemented and reviewed at team meetings
Address customer complaints at the supervisory level
Assist Sales Representatives, Finance Department and other Managers with issues, questions and customer complaints
Provide disciplinary action in the event that company policies/standards are not being followed
Compile productivity reports and review
Conduct productivity review meetings with each team member monthly and address any members that are below team standard and revisit as warranted to ensure standards are being met
Encourage input from all team members on ideas for growth and improvement of the team
Perform departmental quality assurance audits in accordance with the guidelines outlined in the written auditing plans
Keep time sheets/monitor vacation time
Conduct monthly team meetings to provide updates on insurances, products and processes
Manage performance management process
Perform periodic testing on recent insurance product/process updates communicated to the team to assess knowledge/skill set or identify training opportunities
Communicate with AR Manager and other Team Leads on a regular basis regarding any issues or concerns that span teams
Monitor workflow and identify challenges that need to be resolved
2 years third party claims management experience in a multiple payer environment in the healthcare industry.
2 years of experience leading a team of 10 or greater (healthcare environment preferred)
2 years collections experience working with Medicaid Insurance Payors including denials, appeals and claim statuses
1 years experience with performance management, quality control and escalations including creating performance metrics and evaluations
Proficiency with Microsoft Word, PowerPoint and Excel (formulas, pivots, graphs, VLOOKUPS)
Additional Knowledge & Skills
Ability to lead others in a productive environment
Excellent written and verbal communication skills
Experience working with a billing system
Knowledge of compliance regulations
Ability to learn and retain product knowledge
Independent decision maker
Ability to work with multiple personalities
Ability to multi-task
Attention to detail
Experience working in a fast-paced environment
Excellent problem-solving skills
2-year degree in accounting or related field or equivalent experience
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.
No agencies please.
Job: Finance and Accounting
Organization: McKesson Medical Surgical
Title: Medicaid Reimbursement Team Lead
Location: Pennsylvania-Moon Township
Requisition ID: 18003045