McKesson Director of Insurance Authorization & Processing, MPCS in Moon Township, Pennsylvania

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

McKesson is hiring a Director of Insurance Authorization & Processing to be located in Moon Township, PA.

This position has the potential to offer support for relocation for the most qualified candidate, but must be located in the Moon Township, PA office.

Major Responsibilities

  • Develop, implement &drive processes and strategies for the Verifications, Documentation, Medical Records, Medical Coding and QualityReview teams (approx. 125-150 employees).

  • Ensure that all Medical Records arereceived, stored appropriately and are readily accessible at all times.

  • Ensure that processes are established,implemented, managed and monitored around the accurate ICD-10 coding of allorders.

  • Ensure all functions are performed efficiently, timely and accuratelyin order to achieve maximum reimbursement on revenue while maintainingregulatory, legal, contractual and company compliance.

  • Apply best practices,excellent customer service, and a positive and motivated work environment. Establishdepartmental goals to align with company initiatives, and plan detailedstrategy to achieve goals within a set timeline.

  • Assist Management Team inestablishing goals and review methods they have established.

  • Ensure ManagementTeam is achieving goals within set timelines.

Position Description/General Job Family Information

Responsible for directing the billing and administrative functions for the Company's third party billing and claims processing division. Plans, organizes and operates one or more of the following functions for Reimbursement Services: Medicare Full Assignment, Contract Billing, and Managed Care Billing and Verifications, Document Collections, Cash Applications and Collections, Master file Administration and Records Management. Stays abreast of changes and potential changes in Federal Healthcare programs and ensures compliance with regulations of all Federal Healthcare programs, Health Insurance Portability and Accountability Act (HIPAA) and the requirements of third party payers. Establishes and implements new policies/procedures/metrics to continually recognize efficiencies.

Minimum Requirements

  • 8 years third party claims management experience in a multiple payer environment in the healthcare industry

  • 5 years managerial experience

Critical Skills

  • Must have experience in a similar Home Medical Equipment (HME and/or Durable Medical Equipment (DME) company of similar size, or experience working for an insurance company in similar role.

  • Government experience (Medicare, Medicaid) with significant experience with and understanding of regulations and guidelines.

  • Experience leading large teams and ability to motivate exempt and non-exempt employees

  • Superb attention to detail, organizational, communication and presentation skills

Additional Knowledge & Skills

  • College degree preferred

Education

  • 4-year degree in finance, accounting or related field or equivalent experience

Physical Requirements

  • General Office Demands

  • Computer based work

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: Director of Insurance Authorization & Processing, MPCS

Location: Pennsylvania-Moon Township

Requisition ID: 18001358

Other Locations: United States-New York-New York, United States-New York-Rochester, United States-Ohio-Columbus, United States-Pennsylvania-Philadelphia, United States-Michigan-Romulus, United States-Ohio-Gahanna, United States-New York-Buffalo, United States-Michigan-Livonia, United States-Ohio-Urbancrest, United States-Pennsylvania-Pittsburgh, United States-Michigan-Canton