Patient Intake Specialist

at  McKesson

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.

INTAKE SPECIALIST 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.

MINIMUM REQUIREMENTS:

• 0-1 years of experience. May have vocational qualification.

CRITICAL QUALIFICATIONS:

• 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.
• Two or more years of related experience in a healthcare industry, preferably intake/patient access experience.
• 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.

PHYSICAL REQUIREMENTS

• Professional office environment
  We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. 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. For more information regarding benefits at McKesson, please click here.

• 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.