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

Pharmacy AR Billing & Collection Specialist

MCKESSON • Cary, NC, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[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!

    [job_alerts.create_a_job]

    Ar Billing Specialist • Cary, NC, United States

    [internal_linking.related_jobs]
    ARCLERK AR Clk

    ARCLERK AR Clk

    Alsco • Raleigh, NC, United States
    [job_card.full_time]
    The Accounts Receivable Clerk is responsible to the Office Manager for the collection and maintenance of all charge accounts by company policy. With excellent communication skills, will be able to r...[show_more]
    [last_updated.last_updated_variable_days] • [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
    [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...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Outpatient Billing Specialist

    Outpatient Billing Specialist

    Trinity Rehab, LLC • Dunn, North Carolina, USA
    [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...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Billing Specialist

    Billing Specialist

    AllStar Staffing Group • Raleigh, NC, US
    [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 ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Operations Analyst

    Billing Operations Analyst

    Insight Software • Raleigh, NC, US
    [job_card.full_time]
    We are seeking a detail-oriented and analytical Billing Operations Analyst to join our team.In this role, you will be responsible for monitoring and managing order, billing and fulfillment queues.Y...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Intern - Revenue Cycle Management - Collections Analyst

    Intern - Revenue Cycle Management - Collections Analyst

    LabCorp • Raleigh, NC, United States
    [job_card.full_time] +1
    At Labcorp, we believe in the power of science to change lives.We are nearly 70,000 people across 100 countries who are harnessing science for human good. Our work combines unparalleled diagnostic l...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Administrative Specialist

    Billing Administrative Specialist

    RoadSafe Traffic Systems • Fuquay-Varina, North Carolina, United States
    [job_card.full_time]
    Title : Administrative Specialist.RoadSafe Traffic Systems is the largest national provider of traffic safety products and services in the United States. RoadSafe serves customers in all 48 contiguou...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    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
    [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 ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Biller / Accounts Receivable (AR) Specialist | Permanent WFH

    Medical Biller / Accounts Receivable (AR) Specialist | Permanent WFH

    BizForce • Raleigh, NC, US
    [filters.remote]
    [job_card.full_time]
    We are seeking a detail-oriented Biller / AR Specialist with solid experience in hospital billing and managing claims across all payerscommercial and government. The ideal candidate has hands-on exper...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Collections Specialist

    Collections Specialist

    S&ME • Raleigh, NC, US
    [job_card.full_time]
    Location : Raleigh, NC 27616, USA.[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Collections Admin. II

    Medical Collections Admin. II

    HireTalent • Raleigh, NC, US
    [job_card.full_time]
    The Collections Administrator II is responsible for effective and efficient accounts receivable management of assigned payors. The collections efforts on outstanding accounts includes telephone cont...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Restaurant Delivery - Flexible Onboarding

    Restaurant Delivery - Flexible Onboarding

    DoorDash • Wake Forest, NC, United States
    [job_card.full_time] +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Coordinator Billing

    Coordinator Billing

    Dycom Industries Inc • Dunn, NC, United States
    [job_card.full_time]
    Discover a more connected career.At Lambert's Cable, as a Billing Coordinator you'll perform billing tasks that support the operations of a construction field office. Connecting you to great benefit...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    West Coast Billing Associate

    West Coast Billing Associate

    Steno • Raleigh, NC, US
    [job_card.full_time]
    Full-Time, Remote / Hourly, Non-Exempt / Includes Benefits, PTO, Equity.We are looking for a Billing Associate to join our Winning Team, which is revolutionizing the court reporting industry every ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Billing Specialist

    Billing Specialist

    One80 Intermediaries • Raleigh, NC, US
    [job_card.full_time]
    The Billing Specialist will work closely with carriers, agents, employers, and policyholders while managing their own caseload. Meet service standards for processing volumes, speed, and responsivene...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Support Specialist

    Billing Support Specialist

    Lucid Software • Raleigh, NC, US
    [job_card.full_time]
    Lucid Software is the leader in visual collaboration and work acceleration, helping teams see and build the future by turning ideas into reality. Our products include the Visual Collaboration Suite ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Rental Billing Coordinator II - Remote

    Rental Billing Coordinator II - Remote

    Ryder • Raleigh, NC, United States
    [filters.remote]
    [job_card.full_time]
    Job Seekers can review the Job Applicant Privacy Policy by clicking here ().The Billing Coordinator II is responsible for researching and billing exception agreement in his / her assigned districts.A...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Collections Resolution Specialist (Hybrid schedules in Raleigh, NC)

    Collections Resolution Specialist (Hybrid schedules in Raleigh, NC)

    First Citizens BancShares • Raleigh, NC, US
    [job_card.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_more]
    [last_updated.last_updated_30] • [promoted]