Talent.com
Pharmacy AR Billing & Collection Specialist
Pharmacy AR Billing & Collection SpecialistMCKESSON • Cary, NC, United States
Pharmacy AR Billing & Collection Specialist

Pharmacy AR Billing & Collection Specialist

MCKESSON • Cary, NC, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

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.

As a Pharmacy 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. 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.

Minimum Requirement

Typically requires 5+ years of related experience.

Education

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.

Critical Skills

  • 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.
  • Specialized Knowledge and Skills

  • Experience specifically related to specialty pharmacy is highly desirable.
  • 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.
  • Job Working Conditions

    Hybrid Office environment

    We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

    Our Base Pay Range for this position

    $19.87 - $33.11

    McKesson is an Equal Opportunity Employer

    McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

    Join us at McKesson!

    serp_jobs.job_alerts.create_a_job

    Ar Billing Specialist • Cary, NC, United States

    Job_description.internal_linking.related_jobs
    RN Clinical Nurse II UNC Youth Behavioral Health Facility 4YBH Unit

    RN Clinical Nurse II UNC Youth Behavioral Health Facility 4YBH Unit

    UNC Health Care • Butner, NC, United States
    serp_jobs.job_card.full_time
    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Are you passionate about challenges fac...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Remote Customer Service Representative – Product Testing

    Remote Customer Service Representative – Product Testing

    GLOCPA • Wake Forest, North Carolina
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Correctional - $1,872 per week in Butner, NC

    Travel Nurse RN - Correctional - $1,872 per week in Butner, NC

    TravelNurseSource • Butner, NC, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Dzeel Healthcare Staffing to find a qualified Correctional RN in Butner, North Carolina, 27509!. JOIN OUR TEAM TODAY AND EXPERIENCE THE DZEEL DIFFERENCE!.Get covere...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Associate Actuary

    Associate Actuary

    Munich RE • Raleigh, NC, United States
    serp_jobs.job_card.full_time
    Amelia, United States; Akron, United States; Ann Arbor, United States; Athens, United States; Atlanta, United States; Augusta, United States. Bremen, United States; Carmel, United States; Cary, Uni...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Sr Clinical Trial Manager

    Sr Clinical Trial Manager

    Syneos Health / inVentiv Health Commercial LLC • Morrisville, NC, United States
    serp_jobs.job_card.full_time
    Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Warehouse Auditor

    Warehouse Auditor

    Capstone Logistics, LLC • Dunn, NC, US
    serp_jobs.job_card.full_time
    Shift : 3pm- Until Finish| Seven Operation| Schedule set at time of hire.Shift : 3pm- Until Finish| Seven Operation| Schedule set at time of hire. People want to work at Capstone because of our high-p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Outpatient Billing Specialist

    Outpatient Billing Specialist

    Trinity Rehab, LLC • Dunn, North Carolina, USA
    serp_jobs.job_card.full_time
    The Outpatient Billing Specialist will be responsible for all outpatient prior authorizations and reauthorizations for Trinity Rehab LLC. The Outpatient Billing Specialist reports to the President a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Billing Specialist

    Billing Specialist

    AllStar Staffing Group • Raleigh, NC, US
    serp_jobs.job_card.full_time +1
    We have an immediate need for an E-Billing Specialist / Legal Biller for a leading law firm conveniently located in the Raleigh area. This is a full time direct hire position that offers an excellent ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Physical Therapy Assistant - $1,592 per week

    Travel Physical Therapy Assistant - $1,592 per week

    Medical Solutions Allied • Dunn, NC, United States
    serp_jobs.job_card.full_time
    Medical Solutions Allied is seeking a travel Physical Therapy Assistant for a travel job in Dunn, North Carolina.Job Description & Requirements. We’re seeking talented healthcare professionals whose...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,210 per week in Dunn, NC

    Travel Physical Therapist (PT) - $2,210 per week in Dunn, NC

    AlliedTravelNetwork • Dunn, NC, US
    serp_jobs.job_card.full_time
    AlliedTravelNetwork is working with Core Medical Group to find a qualified Physical Therapist (PT) in Dunn, North Carolina, 28334!. Carrolton of Dunn : 711 Susan Tart Rd Dunn, NC 28334.As a friendly ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,510 per week in Dunn, NC

    Travel Physical Therapist (PT) - $2,510 per week in Dunn, NC

    Medical Solutions • Dunn, NC, US
    serp_jobs.job_card.full_time
    A facility in Dunn, NC is seeking its next amazing PT (Physical Therapist).Read on if this sounds like your perfect fit!. Nurses and allied healthcare professionals are in high demand nationwide, an...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Travel Physical Therapy Assistant - $1408 / Week

    Travel Physical Therapy Assistant - $1408 / Week

    Fusion Medical Staffing • Dunn, NC, US
    serp_jobs.job_card.full_time
    Fusion Medical Staffing is seeking an experienced Physical Therapy Assistant for an exciting Travel Allied job in Dunn, NC. Shift : Inquire Start Date : 12 / 15 / 2025 Duration : 13 weeks Pay : $1408 / Week...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Outpatient Physical Therapist Assistant - $1,390 per week

    Travel Outpatient Physical Therapist Assistant - $1,390 per week

    Core Medical Group • Dunn, NC, United States
    serp_jobs.job_card.permanent +1
    Core Medical Group is seeking a travel Outpatient Physical Therapy Assistant for a travel job in Dunn, North Carolina.Job Description & Requirements. Client in NC seeking Physical Therapy Assistant : ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,210 per week in Dunn, NC

    Travel Physical Therapist (PT) - $2,210 per week in Dunn, NC

    AlliedTravelCareers • Dunn, NC, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Core Medical Group to find a qualified Physical Therapist (PT) in Dunn, North Carolina, 28334!. Carrolton of Dunn : 711 Susan Tart Rd Dunn, NC 28334.As a friendly ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    AR / Deductions Analyst

    AR / Deductions Analyst

    Accentuate Staffing • Garner, NC, US
    serp_jobs.job_card.full_time
    Accentuate Staffing is seeking an AR / Deductions Analyst for our client located in Garner, NC 27529.The AR / Deduction Analyst will be responsible for analyzing and resolving customer deductions.This ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Flexible $ : Earn At Least $935 For Your First 82 Trips, Guaranteed.

    Flexible $ : Earn At Least $935 For Your First 82 Trips, Guaranteed.

    Uber • Godwin, North Carolina, United States
    serp_jobs.job_card.full_time +1
    Earn at least $935 driving with Uber when you complete your first 82 trips in 30 days.Why Uber? Driving is an easy way to boost your income while maintaining the flexibility your schedule requires ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Dermatologist Is Wanted for Locum Tenens Help in NC

    Dermatologist Is Wanted for Locum Tenens Help in NC

    Weatherby Healthcare • Butner, US
    serp_jobs.job_card.full_time
    Interested? Give Weatherby a call today and speak with one of our specialty-specific consultants for available dates and details. General medical dermatology with procedures.Biopsies, excisions, and...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Patient Service Associate - Orthopaedics Arringdon

    Patient Service Associate - Orthopaedics Arringdon

    Duke Clinical Research Institute • Morrisville, NC, United States
    serp_jobs.job_card.full_time
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted