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.
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.
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.
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
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
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
2 years third party claims management experience in a multiple payer environment in the healthcare industry.
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
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: Insurance Verification Lead
Location: New Jersey-Moorestown
Requisition ID: 17001556