Reimbursement Integrity Specialist

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.

We are seeking a detail-oriented and experienced Revenue Integrity Specialist to join our team. The ideal candidate will have a strong background in accounts receivable (AR) with a focus on identifying and resolving payment variances. Experience in infusion therapy is a plus. This role requires a thorough understanding of fee schedules, overpayments, underpayments, and payer guidelines, as well as familiarity with payer portals.

Key Responsibilities

• Analyze and resolve payment variances, including overpayments and underpayments.

• Review and interpret fee schedules to ensure accurate billing and reimbursement.

• Utilize payer portals to verify claim status and payment information.

• Collaborate with billing and collections teams to address discrepancies and ensure timely resolution.

• Maintain up-to-date knowledge of payer guidelines and regulations.

• Prepare and submit appeals for denied or underpaid claims.

• Generate reports on payment variances and provide recommendations for process improvements.

Minimum Requirement

Typically requires 3+ years of related experience.

Critical Skills

• 3 + years of experience in accounts receivable, preferably in a healthcare setting.

• Strong understanding of fee schedules, overpayments, and underpayments.

• Familiarity with payer portals and payer guidelines.

• Strong attention to detail and accuracy.

• Effective communication and interpersonal skills.

Additional Skills

• Experience with infusion therapy billing is a plus.

• Excellent analytical and problem-solving skills.

• Proficiency in relevant software and tools.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, pleaseclick here.

Our Base Pay Range for this position

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

Join us at McKesson!