McKesson Case Manager II in Louisville, Kentucky
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.
Current Need - Case Manager II
Do you love helping people? In this dynamic role as a Case Manager, you will serve as a liaison between the patient and the pharmacy. You will monitor processing of cases for patients with specialty pharmacy vendors and home health agencies to overcome delay in turnaround times and other obstacles. You will be in regular contact with vendors. Occasionally, you will contact physician offices, payers, specialty pharmacies, and pharmaceutical company representatives. You will receive inbound calls and make outbound calls as this position is in a call center environment.
This is for the 11:30-8pm shift
High School Diploma or Equivalent
This position requires registration with the Kentucky Board of Pharmacy. Proof of registration is required prior to being hired .*Please note, additional education or certification is not required, only registration. Assistance will be provided.
We prefer you have three years of experience in reimbursement case management, preferably in the insurance and/or pharmaceutical/biotechnology industry. In addition, you should be able to:
Be proficient in all aspects of reimbursement (i.e. benefit investigation, prior authorization, pre-certification)
Have knowledge of Medical Terminology
Have a deep understanding of drug reimbursement issues and claim adjudication process
Navigate through the claim denial process
Understand HCPCS, CPT and ICD-9 coding Express ideas clearly in both written and oral communications, and carry out instructions in written, oral, or diagram form.
Enter data correctly Show attention to detail, handle multiple tasks well, and resolve problems independently
Have computer skills; preferably Microsoft Word or Excel software applications
Calculate figures and amounts such as discounts and percentages Be adaptable to changing priorities as needed
Have analytical and investigation skills Meet quality and turn-around-time objectives
Have customer service skills; including conveying compassion for patients
Have a designation as a Certified Case Manager or licensed practical nurse or social worker is also preferred
High School Diploma or Equivalent
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: Customer Service
Organization: McKesson Specialty Health
Title: Case Manager II
Requisition ID: 18002623