National Billing Specialist

Position: National Billing Specialist (9 Month Contract)
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.
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* Please note:

This is a temporary contract for a 9 month period.
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* Job Summary:

** The National Billing Specialist is responsible for delivering yearly pharmacy commercialization targets and achieving required performance objectives. The Billing Specialist will be responsible for overseeing the billing errors for the Pharmacy team, monthly reporting to our clients, and keeping our accounts receivables at an acceptable range for the billings done by the team. They will also act as a liaison between the billing team, pharmacy team, manufacturer clients, and patient support program as needed.
** Section A – Specific Responsibilities:
** Specific Responsibilities generally include but are not limited to the following*:
** 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.
** Section B –

General Responsibilities:

*** Ensure company policies and standards are at the foremost of all activities and decisions.
* Participate in regular meetings to ensure that KPIs are being met.
* Troubleshooting complicated claims.
* 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.
* Maintains correct data entries into various systems.
* Manage and maintain Gross Margin Report – to track pharmacy billing errors.
* Seek out opportunities to improve and increase revenue.
* Ensure prescriptions are processed and billed following internal policy third-party payer-provider agreements.
* Resolve escalated customer complaints.
* Process rebill requests sent by various programs.
* Work with Pharmacy Supervisors to ensure that McKesson is following all Private and Public insurance policies.
* The National Billing Specialist reports to the National Billing Supervisor and performs national billing functions in a pharmacy setting. As a result, the roles are subject to all confidentiality and privacy requirements that apply in a pharmacy setting.
* Process various claims including manual submissions to various insurance providers.
* Actioning the shared inbox and completing tasks daily.
* Other duties as required.##
** Section C

– Position Requirements :**
* ** Minimum…