Senior Pharmacy AR Collections Specialist - Hybrid Role

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

Job summary

McKesson is seeking a Senior Associate AR Collections Specialist in Cary, NC. This hybrid role requires one day in the office per week to manage high-volume AR, analyze complex insurance/patient accounts, and coordinate with payers and internal teams to resolve issues efficiently.

The position emphasizes denial management, appeals, and timely follow-ups, with a focus on accurate documentation and adherence to payer policies. A strong background in medical billing is essential.

Qualifications

• Typically requires 5+ years of related experience.
• Associate degree in healthcare administration, business, or a related field is preferred.
• 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.
• Clear written and verbal communication skills, including the ability to work effectively with third-party payers, insurance companies, and internal business units.

Responsibilities

• Manage high-volume accounts receivable with focus on claim age, complexity, and urgency.
• Analyze insurance and patient accounts outstanding over 31 days and implement follow-up per payer policy.
• Investigate denials, overpayments, underpayments, and rejections; prepare appeals and coordinate timely resubmissions.
• Process approved account adjustments and issue refunds.
• Communicate with patients and payers to resolve balance inquiries and issues within policy timelines.
• Document collection activity and account disposition in system per standards.
• Maintain knowledge of payer and CMS reimbursement rules and comply with policies.

Skills

Medical billing

Insurance collections

Payer policies

EOB review

Denials & appeals

Time management

Analytical skills

Communication

Education

Associate degree in healthcare administration, business, or related field

Tools

Microsoft Office

Excel

PowerPoint

Job description

McKesson is seeking a Senior Associate AR Collections Specialist in Cary, NC. This hybrid role requires one day in the office per week to manage high-volume AR, analyze complex insurance/patient accounts, and coordinate with payers and internal teams to resolve issues efficiently.

The position emphasizes denial management, appeals, and timely follow-ups, with a focus on accurate documentation and adherence to payer policies. A strong background in medical billing is essential.