National Billing Specialist

7 months ago

Mississauga, Canada McKesson Full time

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.

**Responsibilities**:

- Review the pharmacy transactional data nationally and enhance billing policies and practices.
- Performing day-to-day pharmacy billing operations, month-end reports/billing reports, reviewing and submitting claims
- Find and assess opportunities to perfect billing.
- Be up to date on the pharmacy reimbursement landscape for drugs under the McKesson portfolio.
- Be up-to-date with the pharmacy reimbursement landscape nationally, across all provinces.
- Forecast trends based on the reimbursement landscape.
- Perform quality audits of pharmacy billings nationally to ensure compliance with Pharmacy standards of practice, provider agreements, and billing policies.
- Following up with patients and various payors for commercialization efforts
- Follow up with manufacturer, patient support programs, patients, or adjudicators on outstanding pharmacy claims.
- Review margin analysis of prescriptions billed nationally to detect payor changes and reduce any margin erosion.
- Extract reports from Kroll for the purposes of manufacturer billing
- Collaborate with other departments internally to educate and execute pharmacy initiatives.
- Ability to track and trend and use a variety of tools such as Microsoft Office or web-based tools for the purposes of reporting and tracking.
- Ensure company policies and standards are at the foremost of all activities and decisions.
- Analyze reimbursement-specific data and prepare reports for upper management and clients.
- Summarize consolidated financial results and provide input on the team’s fiscal year goals.
- Develop and maintain professional relationships with healthcare professionals, reimbursement coordinators, and insurance providers/adjudicators.
- Manage and maintain Gross Margin Report - to track pharmacy billing errors.
- Ensure prescriptions are processed and billed following internal policy third-party payer-provider agreements.
- Work with Pharmacy Supervisors to ensure that McKesson is following all Private and Public insurance policies.
- Other duties as required.

**Minimum Requirements**:

- Typically requires 5+ years of related experience

**Additional Skills**:

- Pharmacy Kroll billing experience with a high degree of accuracy
- Understanding of provincial public and private reimbursement for all province
- Strong communication and teamwork skills
- Possess finesse to manage relationships internally and externally.
- Accountable and results-oriented
- Self-motivated and able to work independently as well as in a team setting.
- Ability to communicate effectively (both oral and written) with internal and external customers and stakeholders; makes good decisions based on a combination of analysis, wisdom, experience, and judgment.
- Excellent interpersonal skills, ability to build and maintain good relationships with colleagues at all levels of the organization and promote harmony amongst team members, other McKesson employees/divisions, and external stakeholders.
- Consistently acts in a professional manner and serves as a role model for other team members
- Creative problem-solving skills to find solutions.
- Ability to reflect critically and receive feedback on leadership behavior and modify when required.

At McKesson, we care about the well-being of the patients and communities we serve, and that starts with caring for our people. That’s why we have a Total Rewards package that includes comprehensive benefits to support physical, mental, and financial well-being. Our Total Rewards offerings serve the different needs of our diverse employee population and ensure they are the healthiest versions of themselves. For more information regarding benefits at McKesson, please click here.

As part of Total Rewards, we are proud to offer a competitive compensation package at McKesson. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered.

**Our Base Pay Range for this position**:
$45,000 - $75,000

**McKesson is an Equal Opportunity employer.**

The materials on this site are provided without warranties of any kind, either expressed or implied, including but not limited to warranties regarding the completeness of informa

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