Associate Claims Examiner

  • Company: McKesson Corporation
  • Posted: January 14, 2017
  • Reference ID: 16010211-en-us

McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Business Performance Services (BPS) is a leader in physician and hospital revenue cycle management, physician electronic health record and practice management system technology, and strategic consulting services. BPS offerings are uniquely designed to help physician groups, hospitals and health systems, accountable care organizations, labs, and emergency medical service providers improve efficiency and grow revenues while staying current with the latest regulatory requirements.

We understand the importance of a system that works together. Your expertise, drive and passion can help us carry out our mission to improve lives and advance healthcare.

Join our team of leaders to begin a rewarding career.


Position Description

Accurately adjudicate professional and hospital claims in accordance with outside regulations, internal production standards and contractual obligations in a managed care setting. Claims adjudication in a managed care setting on the payor side.  Process fee for service commercial and/or senior plan claims.   

Performs other tasks as assigned by supervisor/manager

Adhere to organizational policies and procedure

Respond to customer service incidents.




Minimum Requirements
Entry level experience

Critical Skills

Strong typing and 10  key skills, basic knowledge of Microsoft Office – Computer literate

Ez-Cap experience preferred

Familiar with CPT, HCPC, ICD-10, CCI  Edits guidelines and medical terminology

Familiar with  CMS-1500 and UB-04 claim forms

Knowledge of CMS guidelines and State and Federal legislative guidelines

Familiar with and the ability to understand Provider contracts, Division of Financial Responsibility and COB policy.

Ability to work independently and use sound judgment

Able to meet department production and quality standards and timeliness deadlines

Meet State and Federal regulatory Compliance Regulation on turnaround times and claims payment

Additional Knowledge & Skills
Requires word-processing, reading, writing, and arithmetic and good communication skills. May have knowledge of company products

HS Diploma or Equivalent
Physical Requirements
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.

Agency Statement
No agencies please.

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