Sr. Patient Reimbursement Associate

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.

Requirements

• Manage work queue to department standards for productivity and quality.
• Verifies insurance benefits for new patient referrals.
• Re-verifies insurance benefits for existing patients.
• Accurately evaluates charge and reimbursement estimates for infusion therapies.
• Reviews all medical documentation against medical policy and initiates/obtains pre-determination, pre-certification, and authorizations as needed.
• Follow-up on pending pre-certifications and/or pre-determinations until outcome decided.
• Updates and maintains insurance and authorization information in billing software.
• Obtains PCP referrals as needed.
• Completes special projects as assigned.
• Performs other job-related duties as assigned.

Benefits

• Competitive compensation package
• 5% bonus eligibility
• Hybrid work arrangement