Talent.com
Pharmacy AR Billing & Collection Specialist

Pharmacy AR Billing & Collection Specialist

MCKESSONCary, NC, United States
30+ days ago
Job type
  • Full-time
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!

    Create a job alert for this search

    Collection Specialist • Cary, NC, United States

    Related jobs
    • Promoted
    Medical Device Sales Territory Account Manager

    Medical Device Sales Territory Account Manager

    Tactile MedicalDurham, NC, United States
    Full-time
    The Territory Account Manager is responsible for educating therapists, physicians and patients on Tactile Medical Products in an assigned territory. Responsible for establishing sales strategies to ...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Assistant II Certified

    Medical Assistant II Certified

    UNC Health CareKnightdale, NC, United States
    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. The Medical Assistant II, Certified pro...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Clinic Manager - Physical Therapist

    Clinic Manager - Physical Therapist

    CORA Physical TherapyYoungsville, NC, US
    Full-time
    Clinic Manager - Physical Therapist (Full-Time).Looking to build a meaningful career as a.Clinic Manager - Physical Therapist. Make real connections and see your impact.Early shifts, late shifts, or...Show moreLast updated: 2 hours ago
    • Promoted
    Quick Earnings : Earn At Least $935 For Your First 82 Trips, Guaranteed.

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

    UberLinden, NC, US
    Full-time +1
    Earn at least $935 driving with Uber when you complete your first 82 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, part...Show moreLast updated: 17 days ago
    • Promoted
    • New!
    Client Billing and Collections Specialist

    Client Billing and Collections Specialist

    McKessonDurham, NC, US
    Full-time
    Billing & Collections Specialist.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...Show moreLast updated: 1 hour ago
    • Promoted
    Earn Cash From Taking Surveys Online

    Earn Cash From Taking Surveys Online

    Earn HausSpout Springs, NC, US
    Full-time +1
    Looking for people to participate in taking online surveys for Fortune 500 brands.All you need to do is complete online surveys by sharing your opinion. You will help influence brand decisions on se...Show moreLast updated: 7 days ago
    • Promoted
    RN - Home Health in Lillington, North Carolina - $2,186 / week

    RN - Home Health in Lillington, North Carolina - $2,186 / week

    VettedLillington, NC, US
    Full-time
    Vetted is seeking a RN - Home Health for a travel job in Lillington, North Carolina.The assignment starts on ASAP and is 13 weeks long with 8 hour shifts 5 days a week. You must live 60 miles away f...Show moreLast updated: 9 days ago
    • Promoted
    Pharmacy Manager - Acute Care Clinical Services

    Pharmacy Manager - Acute Care Clinical Services

    UNC Health CareChapel Hill, NC, United States
    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. UNC Medical Center is looking for a dyn...Show moreLast updated: 2 days ago
    • Promoted
    Strategic Services Associate - Revenue and Document Integrity - Remote

    Strategic Services Associate - Revenue and Document Integrity - Remote

    Duke Clinical Research InstituteDurham, NC, United States
    Remote
    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...Show moreLast updated: 2 days ago
    • Promoted
    Collections Resolution Specialist (Hybrid schedules in Raleigh, NC)

    Collections Resolution Specialist (Hybrid schedules in Raleigh, NC)

    First Citizens BankRaleigh, NC, US
    Full-time
    This is a hybrid role with the expectation that time working will regularly take place inside and outside of a company office in Raleigh, NC. This position is responsible for the collection of past ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Clinic Manager - Physical Therapost - Up To $10,000 Sign On Bonus

    Clinic Manager - Physical Therapost - Up To $10,000 Sign On Bonus

    CORA Physical TherapyWake Forest, NC, US
    Full-time
    Clinic Manager - Physical Therapist (Full-Time).Looking to build a meaningful career as a.Clinic Manager - Physical Therapist. Make real connections and see your impact.Early shifts, late shifts, or...Show moreLast updated: 2 hours ago
    • Promoted
    • New!
    Clinic Manager - Physical Therapist - Sign On Bonus

    Clinic Manager - Physical Therapist - Sign On Bonus

    CORA Physical TherapyLouisburg, NC, US
    Full-time
    Clinic Manager - Physical Therapist (Full-Time).Looking to build a meaningful career as a.Clinic Manager - Physical Therapist. Make real connections and see your impact.Early shifts, late shifts, or...Show moreLast updated: 2 hours ago
    • Promoted
    Flexible $ : Earn At Least $935 For Your First 82 Trips, Guaranteed.

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

    UberBunnlevel, NC, US
    Full-time +1
    Earn at least $935 driving with Uber when you complete your first 82 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, part...Show moreLast updated: 17 days ago
    • Promoted
    Side gig : Earn at least $935 in your first 82 trips with Uber, guaranteed.

    Side gig : Earn at least $935 in your first 82 trips with Uber, guaranteed.

    UberNewton Grove, NC, US
    Full-time +1
    Earn at least $935 driving with Uber when you complete your first 82 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, part...Show moreLast updated: 17 days ago
    • Promoted
    RN Clinical Nurse II - Emergency Department

    RN Clinical Nurse II - Emergency Department

    UNC Health CareSmithfield, NC, United States
    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. Provides competent clinical nursing car...Show moreLast updated: 30+ days ago
    • Promoted
    Certified Medical Assistant- Orthopaedics

    Certified Medical Assistant- Orthopaedics

    Duke Clinical Research InstituteWake Forest, NC, United States
    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...Show moreLast updated: 1 day ago
    • Promoted
    AR Specialist

    AR Specialist

    North Carolina StaffingRaleigh, NC, US
    Full-time
    Accounts Receivable Specialist.The JF Petroleum Group stands as a premier leader in the North American fueling infrastructure industry, offering comprehensive turn-key solutions for distribution, c...Show moreLast updated: 2 days ago
    • Promoted
    Certified Medical Assistant- Orthopaedics

    Certified Medical Assistant- Orthopaedics

    Duke HealthWake Forest, NC, US
    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...Show moreLast updated: 1 day ago