McKesson Insurance Verification Lead in Moorestown, New Jersey

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.

Current Need

We are seeking an Insurance Verification Team Leader to join our team in Moorestown, NJ. This person will manage 12-15 employees. Shift is Monday through Friday 8:30am – 5:30pm.

Position Description

This role will be responsible for coordinating a team of insurance verification specialists to ensure compliance and adherence to all McKesson Patient Care Solutions (MPCS) and payer policy and procedures as well as maintaining an adequate service level to the patients and customers. This individual will monitor Team Productivity, coach to success of company expectations and goals, maintain efficiency while working with department Manager.

Key Responsibilities:

Department Functions:

  • Identifying insurance verification needs

  • Collections of documents required for authorizations (ie: Clinical/Chart notes, Letter of medical necessity, Detailed Written Order, Advanced Beneficiary Notice, Certificate of Medical Necessity)

  • Interfacing with customers, physicians and referral sources as required in order to process an order shipment, as well as follow up on outstanding/pending orders

  • Evaluate validity of orders processed to ensure all guidelines and qualifications are met prior to releasing of order into the workflow system

  • Communication of any delays in service to patient and/or referral source

  • Ensure proper channels of verification of payer contracts is being followed on orders

Team Functions:

  • Address daily questions/problems of team members and assist staff in bringing them to resolution

  • Address customer complaints at the supervisory level when necessary

  • Complete productivity metrics for the team and on individual basis

  • Encourage input from all team members on ideas for growth and improvement of the team

  • Facilitate monthly team meetings

  • Execution and distribution of reporting/workload to team members when necessary, collaborating with team coordinators

  • Strategize with team coordinators and manager on workloads, system processes and employee concerns

  • Completion of Payroll Functions for the team

  • Reporting of any system issues/ glitches in a timely manner after research through the proper channels

  • Conduct performance reviews for all team members

Communication:

  • Monitor staff coverage on a daily basis and redistribution or reconfiguration of tasks to be sure during times of decreased staff that all team functions and service levels are maintained

  • Monitor and redirect as needed to accommodate order volume flows

  • Identify problems within the team and recommend solutions to the Manager/Senior Manager/ Team Coordinators

  • Communicate team members’ needs and suggestions to the Manager/ senior manager/ and Team trainer

  • Collect data on back end denials to be discussed with the appropriate managers, team trainer and Director of Training to see improvement

  • Monitor Billing System for an errors/ trends of issues and communicating any such findings related to appropriate persons

  • Participate and Coordinate any UAT/Regression testing needs for the department

  • Evaluate and Monitor Employee Performance and relay information back to team members via scorecards and meetings with employees and addressing any underperforming employees

Minimum Requirements

2 years third party claims management experience in a multiple payer environment in the healthcare industry.

Critical Skills

  • 2 years of experience related to insurance process management in healthcare

  • 1 years experience working as a supervisor, trainer or leader of a department or group

  • Intermediate MS Office proficiency (Word, Excel, PowerPoint, Outlook)

Additional Knowledge & Skills

  • Working knowledge of third party billing policies, practices and systems, and demonstrates leadership 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

  • Results oriented

  • Experience working in a fast-paced environment

  • Excellent problem solving skills

  • Highly organized

Education

2-year degree in accounting or related field or equivalent experience

Physical Requirements

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.

Agency Statement

No agencies please.

Job: Finance and Accounting

Organization: McKesson Medical Surgical

Title: Insurance Verification Lead

Location: New Jersey-Moorestown

Requisition ID: 17001556