McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. At McKesson Specialty Health, our products and services span the full continuum of specialty patient care. From the initial phases of a product life cycle and the distribution of specialty drugs, to fully integrated healthcare technology systems, practice management support, and ultimately to patient care in the communities where they live, we empower the community patient care delivery system by helping community practices advance the science, technology and quality of care.
We have a vision that the long-term vibrancy of community care will be achieved through the leadership of physicians committed to clinical excellence and innovation, enabled by close collaboration with our organization and our deep clinical, operational and technological expertise. Every single McKesson employee contributes to our missionby joining McKesson Specialty Health you act as a catalyst in a chain of events that helps millions of people all over the globe. You'll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that's vital to us all.
Join our team of leaders to begin a rewarding career.
• This position will work out of the (RBO) Regional Business Office located in Norfolk, VA.
Responsible for directing business office and related functions at a regional level; including patient billing, reimbursement and collections that comply with federal and state regulations, as well as applicable payer guidelines. Scope is approximately150 physicians and/or Accounts Receivable exceeding $300 million. Advises and provides tactical action plans to improve upon front end revenue cycle processes that have a direct impact on billing and collections for account resolution. Coordinates with practice management team(s) at various levels; to plan and support implementation of streamlining revenue cycle processes in adherence to standard policies and procedures. Receives direction and is accountable directly to McKesson Specialty Health VP of Revenue Cycle.
Responsible for ensuring optimum reimbursement for medical services through accurate and timely reporting of all the physician and ancillary services. Directs the timely submission of all insurance claims and adjustments. Directly supervises accounts receivable management team to ensure the lowest possible collection time. Directs the development of regular business operations reports. Directs and oversees the management team of the front office functions, including insurance verification, patient financial counseling, scheduling, etc. Supports the Managed Care functions by identifying payer issues; payment variance trends and assisting with managed care reporting and payer relations. Demonstrates McKesson ICARE and ILEAD principles. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Directs the operational performance and overall management of the Regional Business Office (RBO) at the regional level.
Ensures achievement of business objectives, including meeting company Days Sales Outstanding (DSO) and Accounts Receivable (AR) key performance metric standards.
Implements and monitors adherence to company Reimbursement policies and procedures. Effective use of practice resources to drive optimal revenue cycle outcomes for the practices
Directs, with AR Director & through site administrators, front office functions including insurance verification, patient registration, financial counseling, scheduling, charge entry and medical records.
Provides feedback and works directly with AR Director & site administrators to develop and implement action plans for improving business related functions for practice sites.
Works directly with AR Director & sites to identify problem payers
Coordinates with sites and Managed Care to develop and implement action plans to resolve AR issues.
Identifies and plans strategies to improve revenue cycle processes and procedures, including supporting improvement of revenue cycle enabling technologies.
Oversight of change management process to include mapping out of revenue cycle best practice workflow updates to ensure all recommendations are successfully implemented.
Manage revenue cycle projects with communication to key stakeholders and ensuring success in project timeline and execution.
Directs physician participation processes to ensure physicians are credentialed in a timely manner and front office is notified of changes in participation.
Provides ongoing reports and feedback to physician leadership, the State Controller and Executive Director regarding overall revenue cycle key performance metrics and business related functions at both RBO and practice locations.
Participates in monthly practice operation meetings and Joint Policy Boards to provide data and feedback to physicians on business related functions and overall AR management. Prepares regular and ad-hoc reports for board and practice management use.
Maintains and manages budget allocations back to the practices in the consolidated arrangement including managing annual true-ups for the practices in this arrangement.
Directs the maintenance of computer master parameters including electronic coding and charge files. Directly supervises Directors of Operations and indirect all regional business and supervisory staff, directs through site administrators, the front office management staff.
Prepares budget and goals for the Regional Business Office and maintains P& L accountability for the regional RBO operations including meeting annual budget requirements.
- May be directly responsible for managed care functions including strategy development, contract review, negotiation and administration, reporting and payer relations
9+ years of medical claims experience along with strong leadership experience. Experience with patient information/claims system processes
At least twelve (12) years of Revenue Cycle Management to include knowledge of revenue cycle operations processes with the ability to identify opportunities to improve revenue cycle management.
At least (5) years supervisory experience coaching, developing, and managing staff.
Previous experience managing a RBO, CBO or Medical Billing Office (Oncology medical & radiation, diagnostic imaging, and lab billing, preferred)
Influencing skills to gain acceptance of best practices from senior leaders, board members, and physician at practices.
Proficiency in Microsoft Office (Outlook, Excel, Word, and PowerPoint).
Billing system platform experience (esp. Centricity Business strongly preferred).
Ability to effectively communicate and interact with Physicians and staff (preferably in a community practice setting).
Strong analytical and reporting skills, preferred
Undergraduate degree in related field. Business or Healthcare Administration, highly desired. MBA or Master's degree, a plus.
Work may require up to 25 % travel.
Environment (Office, warehouse, travel, etc)
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment.
Physical Requirements (Lifting, standing, etc)
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit or stand and talk or hear. Occasionally lifts and carries items weighing up to 40 lbs. Job requires corrected vision and hearing to normal range.
Benefits & Company Statement
McKesson believes superior performance individual and team that helps us drive innovations and solutions to promote better health should be recognized and rewarded. We provide a competitive compensation program to attract, retain and motivate a high-performance workforce, and it's flexible enough to meet the different needs of our diverse employee population.
We are in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting.
But we can't do it without you. Every single McKesson employee contributes to our missionwhatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. Talented, compassionate people are the future of our companyand of healthcare. At McKesson, you'll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that's vital to us all.
McKesson is an equal opportunity and affirmative action employer minorities/females/veterans/persons with disabilities. Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
No agencies please.