Revenue Cycle Management Advisor (Remote - US)
Improving Health Outcomes for a Better Tomorrow.
Location: Remote, USA
Travel: up to 30%
Role type: Full Time
As a Fortune 9 global healthcare company, McKesson aims to touch virtually every aspect of healthcare. We work with biopharma companies, healthcare providers, pharmacies, manufacturers, government agencies, and many other key organizations to deliver insights, products and services that make quality care more accessible and affordable for ALL patients.
A key contributor to McKesson's mission to improve health outcomes for all, the Pharmaceutical Solutions and Services business is dedicated to clearing the path for providers so they can care for patients. Serving more than 10,000 community-based specialty providers across the country, our team provides critical support to providers in their efforts to deliver the best care for their patients as they fight complex diseases.
How You can Make an Impact:
As a Revenue Cycle Management Advisor, you're responsible for providing consulting services to specialty physician practices, billing departments, hospital outpatient settings and other related healthcare entities with a concentration on revenue cycle operations including technical processes and coding compliance. As an expert in revenue cycle management, you'll conduct compliance audits, assist with complex inquiries, and present best practices and process workflow education.
How you'll spend your day:
Partner with McKesson's specialty provider infusion practices (remote & onsite) to support Revenue Cycle Management across the practice. Advise the practice core team to prioritize, adhere to timelines, motivate, communicate, educate, assess, identify areas of opportunity, and mitigate program risk.
Perform coding/compliance audits of physician and hospital outpatient services, either at the practice location or remotely, per customer preference and consistent with the scope of the agreement.
Perform comprehensive assessments of revenue cycle process and workflow, including charge capture and reconciliation procedures to ensure all services provided are charged appropriately and reported accurately.
Perform data analysis on practice management financial reports, identify key performance indicators (KPI), and make recommendations based on the specific customer needs or areas of concern.
Create and deliver accurate and well-written audit reports and a detailed tactical action plan, including clear explanations of findings as well as authoritative guidance for coding and workflow recommendations for all projects and identified areas of concern.
This is not an exhaustive list; other relevant duties and responsibilities may be assigned at the needs and discretion of the business.
What You'll Need
Typically requires 7+ years of experience in Revenue Cycle Management programs/projects with concurrent process, people, and technology activities
4-year degree in related field or equivalent experience. AHIMA or AAPC coding credential is preferred. A Master's degree in Business, Healthcare Management, or clinical area is highly desirable.
Experience working across the entire Revenue Cycle (including Patient Access, HIM/Coding, and Patient Financial Services)
Experience in healthcare, coding, documentation and reimbursement, patient processes, business office procedures and/or management
What Will Help You Excel?
Success delivering complex programs/projects on time, on budget and meeting scope and quality expectations
Ability to interpret and analyze data from reports such as accounts receivable, aging, bad debt, top denials, insurance variance, etc.
Knowledge of organization policies and procedures and health care administration principals
Knowledge of CPT, ICD-10-CM and HCPCS coding related to Evaluation and Management, oncology, and multi-specialty practices
Ability to work collaboratively across multiple functional departments and work streams.
Intermediate skills with MS Office to include Excel, PowerPoint and Visio
Highly detail-oriented individual with outstanding analytical and writing skills
Professional communication skills with the ability to present to all levels including executive leadership
Why McKesson?
Generous salary with bonus opportunities (adjustments made based on market location)
Medical, dental, and vision plans with the opportunity for generous discounts through our Vitality partner
3+ weeks of paid time off a year to spend however you want and 12 paid holidays
Up to 14 weeks of paid parental leave and five to 10 days of paid care and bereavement leave
McKesson contributes a percentage of your total 401k contributions each year towards your retirement fund
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
$103,200 - $172,000
McKesson is an Equal Opportunity/Affirmative Action employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
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 [email protected]. Resumes or CVs submitted to this email box will not be accepted.
Current employees must apply through the internal career site.
Join us at McKesson!