McKesson Practice Biller/Collector Specialist in Houston, Texas
McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. At McKesson Specialty Health, our products and services span the full continuum of specialty patient care. From the initial phases of a product life cycle and the distribution of specialty drugs, to fully integrated healthcare technology systems, practice management support, and ultimately to patient care in the communities where they live, we empower the community patient care delivery system by helping community practices advance the science, technology and quality of care.
We have a vision —that the long-term vibrancy of community care will be achieved through the leadership of physicians committed to clinical excellence and innovation, enabled by close collaboration with our organization and our deep clinical, operational and technological expertise.Every single McKesson employee contributes to our mission—by joining McKesson Specialty Health you act as a catalyst in a chain of events that helps millions of people all over the globe. 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.
The Practice Biller & Collector will be responsible for the timely and accurate billing of charges via electronic or portal billing, tracking payments, denials and adjustments on the accounts receivable via phone, portal, and/or electronic contact with the payor. Accurate and detailed action notes will be documented in the reimbursement ledger. May require research into medical criteria for implementing appeals process for denied claims.
Qualified candidates must have excellent written and verbal communication skills, advanced computer literacy, and the ability to multi-task in a fast-paced work environment. Excellent mathematical skills a must. Candidates will be responsible for following up on the accounts timely to ensure payment is made.
ESSENTIALFUNCTIONS AND DUTIES
Complete all billing in queue within a 48hour period
Receive, research and respond to questionsor concerns regarding billing
Locate EOBs (Explanation of Benefits) orRA (Remittance Advice)
Bill claims via fax or portal
Access, read and understand:
Reimbursement ledger in practicemanagement software
patient information in proprietary EMRdatabase
Accounts/Receivable report to scrub claimsfor next day billing
Patient Balance report
Status accounts under the correct payerresponsibility by cross referencing open A/R to Financial Assistance carrier bycontact via phone, portal or electronic rebates via fax
Receive, research and respond to questionsor concerns regarding collections of payments
Cross reference claim information fromEOBs (Explanation of Benefits) or RA (Remittance Advice) for denial of payment
Follow up on appeals and rebills in atimely manner
Identification of underpayments
Effectively communicate concerns/issuesregarding billing/collecting, Direct manager and/or Cash Posting Manager
Document information in memo notes withina DOS or account notes on ledger in a clear and concise manner
Maintain strictest confidentiality; adhereto all HIPAA guidelines/regulations
Monthly audits to:
Research complete and effective billingbalances
True patient balances
True patient credits, Financial Assistancecredits and Insurance credits
Participatein additional training requirements in an effort to stay current with the everchanging rules and regulations associated with the various pharmaceutical andcharity programs
Other duties as assigned by management
1 years billing or medical office experience
2 years of experience in medical insurance/billing, patient financial counselor and/or patient financial assistance in the healthcare industry preferred
2 years of medical insurance benefits knowledge which includes: deductibles, co-insurance, and out-of-pocket maximum preferred
2 years of experience using Clearing Houses to look for claim rejections and denials preferred
Revenue Cycle management experience a plus
Provides high quality service and professionalism to incoming, outgoing, interdepartmental phone calls.
Fluency in the English language. Must communicate efficiently and clearly, both orally and in writing.
Must demonstrate ability to work well in a team dynamic as well as independently.
Must demonstrate ability to quickly build rapport and respond to all individuals in a compassionate and positive manner by identifying and exceeding expectations.
Managed care experience with the ability to differentiate between insurance plans such as PPO, POS, HMO, Medicare, Medicare Advantage Plans, etc.
Adaptability when dealing with constantly changing processes, computer systems and financial assistance programs.
Must demonstrate ability to perform effectively in a fast paced and high volume ever changing work environment.
Highly motivated and capable of prioritizing multiple tasks and meeting established deadlines.
Excellent personal computing skills and a working knowledge of MS Office software.
Additional Knowledge & Skills
Some knowledge of third party billing policies, practices and systems, as well as, spreadsheet applications.
HS Diploma or Equivalent
Medical Billing and Coding Certification a plus
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 Specialty Health
Title: Practice Biller/Collector Specialist
Requisition ID: 18001389