McKesson · 1 day ago
Pharmacy AR Billing & Collection Specialist
Cary, NC
Full-time
Hybrid
Senior Level
$19.87/hr - $33.11/hr
5+ years expMcKesson is a Fortune 10 company focused on making quality healthcare more accessible and affordable. The Pharmacy AR Billing and Collections Specialist will manage accounts receivable, ensuring a healthy revenue cycle and collaborating with patients and partners to resolve financial issues.
BiopharmaBiotechnologyHealth CareInformation TechnologyPharmaceutical
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. Managing between 50-80 claims a day
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
Qualification
Required
Typically requires 5+ years of related experience
Prior experience managing a high volume of accounts receivable activities, including collections and follow-up, with attention to accuracy and timeliness in resolving reimbursement issues
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
Advanced knowledge of Medicare/Medicaid and commercial insurance billing and reimbursement policies/guidelines
Demonstrated experience performing detailed account research, analyzing EOBs and remittance advice and ability to effectively problem solve high dollar claims for quick resolution
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 third party payers 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
Strong prioritization and time management skills
Ability to manage complex issues, function independently, demonstrate flexibility, as well as the ability to work effectively with remote internal and external teams
Strong analytical and problem-solving skills, with the ability to identify and resolve issues related to insurance reimbursement
Preferred
Associate degree in healthcare administration, business, or a related field and/or relevant certifications or training in medical billing, insurance collections, payer policies, or reimbursement processes are preferred
Experience specifically related to specialty pharmacy is highly desirable
Benefits
Competitive compensation package
Annual bonus
Long-term incentive opportunities
Company
McKesson
McKesson distributes medical supplies, information technology, and care management products and services.
10001+ employees
H1B Sponsorship
McKesson has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (149)
2024 (129)
2023 (82)
2022 (142)
2021 (144)
2020 (154)
Funding
Current Stage
Public CompanyTotal Funding
unknown1994-11-18IPO
Leadership Team
Brian Tyler
CEO
Jim McAuliffe
CFO
Recent News
2026-01-06
2026-01-03
Seattle TechFlash
2025-12-22
Company data provided by crunchbase