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Pharmacy AR Billing and Collections Specialist - Cary North Carolina
Company: MCKESSON
Location: Cary, North Carolina
Posted On: 05/05/2025
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.
Join Our Team at Biologics by McKesson: Elevate Patient Care with Us!
Position: Pharmacy AR Billing and Collections Specialist
Our Mission:
At Biologics by McKesson, we are dedicated to simplifying medication access and delivering personalized care to ensure the best possible outcomes for every patient, partner, and therapy-one at a time.
Role Overview:
As a Senior Associate AR Billing and Collections Specialist, you will be at the heart of our financial operations, managing accounts receivable with precision and care. Your expertise will ensure that we maintain a healthy revenue cycle, minimize financial risks, and foster seamless collaboration with patients and partners.
Key Responsibilities:
- AR Management: Oversee open accounts receivable daily to meet key revenue cycle performance indicators.
- Strategic Collections: Analyze and address complex AR accounts outstanding over 31 days, employing effective collection strategies.
- Account Adjustments: Process approved adjustments and promptly issue overpayment refunds.
- Claims Expertise: Research and resolve denials, underpayments, and rejections; handle claims appeals efficiently.
- Collaborative Resolution: Work with internal teams on account resolution and claims resubmission within timely filing guidelines.
- Patient & Payer Communication: Respond to inquiries regarding claims and account status with clarity and professionalism.
- Data Management: Maintain payer files, compile claims data, and produce comprehensive tracking and trending reports.
- Regulatory Compliance: Stay updated on third-party payers and CMS reimbursement requirements, adhering to all guidelines and procedures.
- Team Participation: Engage actively in billing and collection meetings, contributing to ongoing account resolutions.
- Operational Excellence: Demonstrate a strong commitment to operational excellence and continuous improvement.
- Additional Duties: Undertake other responsibilities as assigned by the supervisor and manager.
Minimum Requirements:
- Typically requires 5+ years of related experience
Critical Skills
- High volume AR/collections experience in the specialty healthcare or pharmacy segment
- Strong understanding of health insurance coverage and reimbursement processes, including knowledge of NDC/HCPCS coding and billing practices. Familiarity with oncology therapies and the associated reimbursement landscape is a plus.
- Knowledge of applicable healthcare laws and regulations, including HIPAA, Medicare, and Medicaid guidelines.
- Exceptional written and verbal communication skills, along with collaboration skills and ability to influence others; ability to build credible relationships across multi-business units.
- Excellent verbal and written communication skills, with the ability to effectively communicate with patients and insurance companies.
- Ability to work effectively in a team-oriented environment, collaborating with colleagues to achieve common goals.
- Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint
- 3+ years' high volume collections experience within specialty pharmacy, medical/infusion office, or other relevant industry services.
Specialized Knowledge and Skills
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