McKesson Data Auditor Lead in Moon Township, Pennsylvania
McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Medical-Surgical provides medical-surgical supplies and equipment to physicians' offices, home care agencies, long-term care facilities and surgery centers. Our catalog includes more than 150,000 national brand products from bandages to exam tables, plus McKesson's own line of high-quality medical-surgical products. We're proud to be the only national distributor serving the entire continuum of healthcare.
Every single McKesson employee contributes to our mission—by joining McKesson Medical-Surgical you act as a catalyst in a chain of events that helps millions of people all over the globe. Your expertise, drive and passion can help us improve everything we touch, from providers to payors to pharmacies. 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.
The position will provide analysis and quality assurance for the payer audit functions of the department. These functions will include documentation reviews for accuracy and validity to support the payer audit requests; organization and delivery of completed audits; and daily management of assigned work queues.
Monitor all EDI clearinghouse processes and the exchange of claims and remittance transactions between providers and payors to ensure balanced processing of data. Initiate proactive notification to clients of any issues or delays in processing or delivery of audited data. Provide required documentation and assistance needed to resolve problems and delays in association with audited data and within set time periods. Provides feedback and analysis for system enhancements that enables auditing of data to be performed more efficiently and with improved accuracy. May work on special projects or process improvement as identified by management. Qualifications
2+ years customer service experience
Review and acceptance of presented documents for audit requests
Organization and delivery of documentation in a timely manner
Reporting on audit metrics
Management of junior data auditors and cross functional team members
Updating training director on issues related to denials
Government payer and audit experience
Quality review and quality assurance experience
Strong excel skills including Pivot Tables, Macros & Cross functional Sheet referencing
Data storage and retrieval knowledge (shared drives)
Additional Knowledge & Skills
Reading, writing, arithmetic, good communication skills, PC and word-processing skills, and working knowledge of the company products
HS Diploma or Equivalent
General Office Demands
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 mission—whatever 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 company—and 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.