Fee Schedule Coordinator

McKesson Fee Schedule Coordinator

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.

The Fee Schedule Coordinator is responsible for various functions related to the accuracy payer reimbursement terms and updated fee schedules. This role will be responsible for routine procurement and interpretation of fee schedules and analyzing performance trends from contracted rates. This role will develop and maintain long-term productive relationships with practices in The US Oncology Network and third-party payers to drive lifecycle workflows. In addition, this position will work with the Manager of Payer Lifecycle Integrity to lifecycle workflows.

Key responsibilities include :

• Maintain accurate payer reimbursement terms and fee schedules
• Interpret payer contracts to extract key reimbursement terms and catalog for easy accessibility
• Set reminders within the utilized application (Smartsheet) in accordance with the payer's established cadence of updating the fee schedule(s)
• Obtain proprietary payer fee schedules or contracted rates in accordance with the payer's established process of obtaining the fee schedule(s) via email, fax, provider portal, website, or any other process, as required by payer
• Retrieve all applicable federal and state rates and fee schedules, including but not limited to, CMS (manual pull of provider rates, ASP, Lab fee schedule) and Medicaid fee schedules
• Upload fee schedule(s) and reimbursement documentation into appropriate systems
• Store fee schedules and applicable documentation into a centralized location, as specified
• Confirm on a defined basis that all terms within the utilized application (Smartsheet) are accurate and up to date
• Work with databases, spreadsheets, or other digital tools to ensure that all relevant information is easily accessible when needed
• Collaborate with internal teams and external teams
• Communicate fee schedule updates to several internal and external departments that support The US Oncology Network, including but not limited to, Analytics, Revenue Cycle, Pharmacy and Business Systems
• Collaborate with multiple internal and external groups which contribute to this business (US Oncology operations, Finance, Pharmacy Solutions, Revenue Cycle, VBC Transformation, and Medically Integrated Pharmacy, third party vendor) to monitor performance trends and identify opportunities and potential headwinds

Minimum requirement typically requires 3+ years of related experience. Education associate's degree or higher level preferred, but high school graduate with the minimum job qualifications above would be considered.

Critical skills include :