Billing Insurance Jobs in Raleigh, NC (NOW HIRING)

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.

Role Overview

The position of Manager of Billing and Administration reports to the Director of Accounts Receivable supporting the Biologics by McKesson locations in Cary, NC, Fort Worth, TX and Clermont, KY. This position will be primarily responsible for developing and implementing plans to enhance the Company's ability to process medically billed claims and related transactions. This position is also responsible for the administrative tasks associated with claims and invoice processes, including but not limited to, distributing patient statements, reviewing incoming mail, sending payments received to the lockbox, etc. This position works closely with Operations, Payer Access, Cash Applications, Account Management, Compliance and Finance teams by establishing appropriate billing processes to enhance the revenue management cycle within the +$6B business supporting Oncology, Rare & Orphan and Cell & Gene product lines. This position is expected to have between 3-5 direct reports depending on volume throughput.

Location: This role is hybrid and will have varying in office requirements depending on location. Those working out of Cary, NC will be required at least one day in office day weekly. Those working of our Irving, TX location will be required two days in office weekly.

Compensation: Target salary for this role is between $80,000 and $85,000 along with a 7.5% bonus.

Key Responsibilities

• Responsible for the team processing medically billed claims via the pharmacy management system (CareTend) and the medical billing system (WayStar).

• Support the manufacturer's chargeback process by having the team invoice / submit chargebacks.

• Manage the billing and invoicing process related to the Exelan VA Lenalidomide program.

• Periodically review billing processes and control activities to enhance departmental performance.

• Responsible for supporting AR department with administrative functions, including but not limited to, patient statement distribution, managing incoming mail, consolidating / distributing incoming checks to the lockbox, etc.

• Reinforce a customer-centric culture that builds highly collaborative relationships with Biologics' Patients, Operations, Payer Access, Cash Applications, Account Management, Sales, Compliance and Finance teams and other support departments.

• Review internal controls, policies, procedures, etc. for consistency and to ensure controls are being followed by subordinate staff, adjusting as needed.

• Continue to strengthen partnership with Compliance department to align and prioritize collection activities.

• Support Accounts Receivable and Collection activities as defined within the ever-changing scope of the business.

Competencies and Best Practices for High Performers

• Strong diplomatic skills with an ability to consistently think proactively with a customer centric focus.

• Demonstrated ability to influence individuals and exercise good judgment in a fast-paced decision-making environment.

• Strong ability to provide excellent customer service and collaborate across multiple functions and levels of the organization.

• Proven ability to lead a team.

• Excellent communication and interpersonal skills capable of promoting trust and collaboration.

• Self-motivated, extremely organized, and capable of handling multiple initiatives.

Additional Knowledge and Skills

• Knowledge and understanding of uniform commercial code, business law, health insurance regulatory practices, and credit & collections principles.

• CPR+, CareTend, WayStar and SAP systems experience highly preferred.

• Strong analytical capabilities (Excel spreadsheet skills and spreadsheet analysis techniques required).

Minimum Requirement

Degree or equivalent experience. Typically requires 6+ years of professional experience and 0-2 years of supervisory experience.

Education

Bachelor's degree in finance, accounting or related field required. MBA preferred.

Critical Skills

• 6+ years of Medical Billing experience with 2+ years of management experience in a fast-paced, dynamic environment with exposure to customers and internal sales teams.

• Knowledge of the specialty pharmacy industry is preferred.

This position offers the possibility of a hybrid work arrangement based on recent updates to our in-office/workfromhome model. If located in DFW area, the selected candidate may be expected to work onsite at our Las Colinas office a minimum of two (2) days per week, with the remaining days worked remotely. Specific inoffice days may be designated according to team needs and business priorities.

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, pleaseclick here.

Our Base Pay Range for this position

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.

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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.

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