Pharmacy Accounts Receivable 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 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.

Our Mission

At Biologics by McKesson, we simplify access to medication and deliver personalized care to support the best possible outcomes for every patient, partner, and therapy—one at a time.

Role Overview
As a Senior Associate AR Collections Specialist, you will play a key role in financial operations by managing insurance and patient accounts receivable accurately and efficiently. Your work will support a healthy revenue cycle, reduce financial risk, and promote effective collaboration with patients, payers, and internal partners.

Location: This is a hybrid role out based out of our Cary, NC location with a requirement of one day in office a week.

Compensation: The target rate for this role is between $26 and $27 an hour.

Key Responsibilities

• Accounts Receivable Management: Effectively prioritize and manage a high-volume workload based on claim age, complexity, and urgency. Own the accounts receivable process for assigned accounts, leveraging reporting, analytics and account reviews and take action to support key revenue cycle performance metrics.
• Insurance and Patient Collections: Analyze complex insurance and patient accounts outstanding more than 31 days, establish timely follow-up in accordance with payer policy, and apply effective collection strategies to accelerate resolution.
• Claims Research and Appeals: Investigate denials, overpayments, underpayments, and rejections; identify root causes; recommend appropriate solutions; prepare appeals; and coordinate timely claim resubmissions in collaboration with internal and external partners.
• Adjustments and Refunds: Process approved account adjustments and issue overpayment refunds promptly.
• Patient, Payer, and Internal Collaboration: Respond clearly, professionally, and sensitively to patient balance, account, and claim inquiries; and partner with payers and internal teams to resolve issues within timely filing and organizational requirements.
• Collection Documentation and Performance: Work 50–70 accounts per workday while accurately documenting collection activity, claim status, and account disposition in accordance with established quality and productivity standards.
• Compliance: Maintain current knowledge of third-party payer and CMS reimbursement requirements and follow all applicable policies, procedures, and guidelines.
• Team and Operational Excellence: Participate actively in billing and collections meetings, contribute to account resolution, and support continuous improvement.
• Additional Responsibilities: Perform other duties as assigned by the supervisor or manager.

Minimum Requirement

Typically requires 5+ years of related experience.

Education

Associate degree in healthcare administration, business, or a related field is preferred.

Critical Skills

• Relevant certification or training in medical billing, insurance collections, payer policies, or reimbursement processes may also be considered.
• Must have strong knowledge of pharmacy or medical collections, denial processing, appeal submission and insurance EOB review.
• 2+ years current experience working high-volume insurance and patient collections in specialty pharmacy, a medical or infusion office, or another relevant healthcare services setting.
• Strong prioritization and time-management skills.
• Ability to manage complex issues independently, adapt to changing priorities, and collaborate effectively with remote internal and external teams.
• Strong analytical and problem-solving skills, particularly in identifying and resolving insurance reimbursement issues.

Additional Skills

• High-volume insurance, third-party, and patient collections experience in specialty healthcare or pharmacy, including the ability to communicate patient financial responsibility and pursue balances professionally.
• Strong knowledge of health insurance coverage and reimbursement, including NDC and HCPCS coding and billing practices; familiarity with oncology therapies and reimbursement is a plus.
• Experience and knowledge of commercial and governmental insurance payer and clearinghouse portals
• Advanced knowledge of Medicare, Medicaid, and commercial insurance billing and reimbursement policies.
• Proven ability to research accounts, interpret EOBs and remittance advice, and resolve high-dollar claims efficiently.

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