McKesson

Field Riemburement Manager-Hemo

McKesson  •  $76k - $127k/yr  •  Indiana, PA (Onsite)  •  2 hours ago
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Job Description

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.

  1. Provide on-site and on-demand education for the office staff in regard to reimbursement challenges and support services that are available. Office interaction will include education and reimbursement support. On-site Face to Face interactions will average 5 interactions per day x 3

days per week. Virtual Interactions will average 5 interactions per day x 2 days per week. These activities are recorded in FRM CRM daily with reporting to manager and client weekly.

35

  1. Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams. Monthly activity reporting captures educational topics at FRM level reportable to client based on client expectation. This trended data is also reported quarterly regularly to client.

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  1. Reimbursement support, account management, billing and coding updates, appropriate claims submission, Retail Pharmacy/Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance programs. FRM will collaborate with multiple stakeholders ensuring all parties are aligned to resolutions and outcomes.

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  1. Responsible for setting up appointments and completing virtual and/or outbound calls to provider offices. Additional day-to-day in-office work. Interface with physicians to obtain and provide patient and payer specific information. All FRM interactions/activities are tracked in FRM CRM which are reportable to management and client.

10

  1. Monitor program performance for physicians and manufacturer representatives in accordance with expectations. Territory performance will be monitored via FRM CRM dashboard daily. Trending results will be identified through regular reporting. Additionally, clients have the option to survey customers on program performance.

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  1. Research and compile provider / manufacturer representative specific information for reimbursement database. (Includes account profiles) FRM will create a facility database on each new provider in FRM CRM. All interactions/activities are built utilizing this database.

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100%

Minimum Job Qualifications (Knowledge, Skills, & Abilities):

Education/Training –

4-year degree in related field or equivalent experience.

Business Experience –

Field Reimbursement experience preferred

HCP facing field experience (i.e. Field Reimbursement, sales, market access) highly preferred

Entry-level experience in project management

Minimum of 5 years healthcare related reimbursement experience with a balance on the HCP facing experience

Strong experience with Buy & Bill, Retail, and/or Specialty Pharmacy

Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician’s office or clinics.

Must have Medicare and commercial insurance coverage experience.

Must be able to speak to benefit investigation outcomes and relay status reports on a regular basis.

Strong customer service and problem resolution experience

Proven presentation skills and experience

Ability to effectively handle multiple priorities within a changing environment.

Excellent organizational skills

Strong Computer literacy to include PowerPoint and Web Meeting experience    

Specialized Knowledge/Skills –

Previous field experience, a plus

Previous experience with retail pharmacy a plus

Account management experience, a plus

Excellent Interpersonal skills.

Excellent written and oral communication skills

Problem solving and decision-making skills

Working Conditions:

General Office Demands – Remote, WFH when not traveling

Travel Requirements

Must reside in territory

Must be able to travel 60% (3 days a week) via automobile or plane

Must have a valid driver's license with a clean driving record/ MVR

Physical Requirements (Lifting, standing, etc.) –

Possible long periods of sitting and/or keyboard work. General office demands.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

Our Base Pay Range for this position

$76,300 - $127,100

McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson’s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:

McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.

McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.

McKesson job postings are posted on our career site: careers.mckesson.com.

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) Disability_Accommodation@McKesson.com or (Canada) Accessibility@mckesson.ca. Resumes or CVs submitted to this email box will not be accepted.

Join us at McKesson!

McKesson

About McKesson

Welcome to the official LinkedIn page for McKesson Corporation. We're an impact-driven healthcare organization dedicated to “Advancing Health Outcomes For All.”

As a global healthcare company, we touch virtually every aspect of health. Our leaders empower our people to lead with a growth mindset and deliver excellence for our customers, partners, and the wellbeing of people, everywhere. We work with biopharma companies, care providers, pharmacies, manufacturers, governments, and others to deliver insights, products and services that make quality care more accessible and affordable. Delivering better health outcomes for our employees, our communities, and our environment. Every day, we strive to inspire and enable people to reach their full potential.

To learn more about how #TeamMckesson helps improve care in every setting, visit: https://bit.ly/3xadvB0

Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Irving, Texas
Year Founded
Unknown
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