Pharmacy Accounts Receivable Collections Specialist

McKesson; Cary (NC); Hybrid; USD 36,000 - 37,000; Full time

Job summary

McKesson, a leader in healthcare, is hiring a Senior Associate AR Collections Specialist in Cary, NC. You will manage insurance and patient accounts receivable to support a healthy revenue cycle and collaborate with payers and internal partners.

This hybrid role requires 5+ years in healthcare billing/collections, an associate degree, and strong analytical, communication, and prioritization skills. The target hourly rate is $26–$27, with base pay variations in the McKesson compensation package.

Qualifications

• 5+ years of related experience in healthcare billing/collections.
• Associate degree in healthcare administration, business, or related field preferred.
• Strong knowledge of payer policies, CMS guidelines, and reimbursement processes.
• Experience with high-volume insurance and patient collections in healthcare.

Responsibilities

• Manage AR for assigned accounts and prioritize based on age and complexity.
• Analyze insurance and patient balances outstanding over 31 days and follow up per payer policy.
• Investigate denials, overpayments, underpayments, and coordinate appeals.
• Process approved adjustments and refunds promptly.
• Collaborate with payers and internal teams to resolve issues within deadlines.

Skills

Accounts Receivable

Cash flow understanding

Analytical thinking

Attention to detail

Communication skills

Prioritization

Education

Associate degree in healthcare administration, business, or related field

Tools

Excel

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.

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.
• Clear written and verbal communication skills, including the ability to work effectively with third-party payers, insurance companies, and internal business units.
• Strong collaboration and influence skills, with the ability to build credible cross-functional relationships and contribute in a team-oriented environment.
• Strong Proficiency in Microsoft Office, Excel, and PowerPoint.

Work Environment

Hybrid office environment.

Compensation and Benefits

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 $20.72 - $34.54

Equal Opportunity Employer

McKesson is an Equal Opportunity Employer. McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) [e-mail] or (Canada) [e-mail].