Reimbursement Specialist

at  McKesson

Cary, NC 27513, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate23 Jan, 2025USD 25 Hourly23 Oct, 2024N/AGood communication skillsNoNo
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Description:

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.

  • Works in a fast-paced, high-volume contact center environment to provide product-specific reimbursement support to patients, healthcare providers, patient advocates, and manufacturer representatives.
  • Will frequently interact via telephone with commercial payers to conduct insurance verifications and benefit investigations.
  • Works daily with commercial payers to ensure appropriate coverage and reimbursement in various therapeutic areas.
  • Must have a solid working knowledge of insurance plans and benefit structures to obtain detailed benefit information and maximize plan benefits.
  • Obtains payer-specific prior authorization documentation, if applicable, and facilitates the prior authorization process for patients and healthcare providers.
  • A general understanding of Medicare and Medicaid programs is desired.
  • The position may require, project management and/or account coordination skills depending on the specific program.

Career Level – IC Business Support – B2
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. The pay range shown below is aligned with McKesson’s pay philosophy, and pay will always be compliant with any applicable regulations. 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.

Responsibilities:

  • Works in a fast-paced, high-volume contact center environment to provide product-specific reimbursement support to patients, healthcare providers, patient advocates, and manufacturer representatives.
  • Will frequently interact via telephone with commercial payers to conduct insurance verifications and benefit investigations.
  • Works daily with commercial payers to ensure appropriate coverage and reimbursement in various therapeutic areas.
  • Must have a solid working knowledge of insurance plans and benefit structures to obtain detailed benefit information and maximize plan benefits.
  • Obtains payer-specific prior authorization documentation, if applicable, and facilitates the prior authorization process for patients and healthcare providers.
  • A general understanding of Medicare and Medicaid programs is desired.
  • The position may require, project management and/or account coordination skills depending on the specific program


REQUIREMENT SUMMARY

Min:N/AMax:5.0 year(s)

Hospital/Health Care

Pharma / Biotech / Healthcare / Medical / R&D

Health Care

Graduate

Proficient

1

Cary, NC 27513, USA