Pharmacy Accounts Receivable Collections Specialist

McKesson•Cary, NC

15d•$21 - $35•Hybrid

About The Position

At Biologics by McKesson, the Senior Associate AR Collections Specialist supports financial operations by managing insurance and patient accounts receivable accurately and efficiently. The role helps maintain a healthy revenue cycle, reduce financial risk, and collaborate effectively with patients, payers, and internal partners. It is a hybrid position based out of the Cary, North Carolina location, with one day per week in the office. The target rate is $26–$27 per hour; the posted base-pay range is $20.72–$34.54 per hour. The specialist manages assigned accounts and a high-volume workload, researches complex claims, pursues collections, prepares appeals and resubmissions, processes approved adjustments and refunds, documents account activity, and follows payer and CMS requirements. The role also contributes to team meetings, account resolution, and continuous improvement.

Requirements

Typically requires 5+ years of related experience.
At least 2 years of current experience in high-volume insurance and patient collections in specialty pharmacy, a medical or infusion office, or another relevant healthcare services setting.
Strong knowledge of pharmacy or medical collections, denial processing, appeal submission, and insurance EOB review.
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.
Ability to communicate patient financial responsibility and pursue balances professionally.
Knowledge of health insurance coverage and reimbursement, including NDC and HCPCS coding and billing practices.
Experience with commercial and government insurance payer and clearinghouse portals.
Advanced knowledge of Medicare, Medicaid, and commercial insurance billing and reimbursement policies.
Ability to research accounts, interpret EOBs and remittance advice, and resolve high-dollar claims efficiently.
Clear written and verbal communication skills for working with third-party payers, insurance companies, and internal business units.
Strong collaboration and influence skills, including the ability to build cross-functional relationships and contribute in a team-oriented environment.
Strong proficiency in Microsoft Office, Excel, and PowerPoint.

Nice To Haves

Associate degree in healthcare administration, business, or a related field is preferred.
Relevant certification or training in medical billing, insurance collections, payer policies, or reimbursement processes may be considered.
Familiarity with oncology therapies and reimbursement is a plus.
High-volume insurance, third-party, and patient collections experience in specialty healthcare or pharmacy.

Responsibilities

Prioritize and manage a high-volume workload according to claim age, complexity, and urgency.
Own the accounts receivable process for assigned accounts, using reporting, analytics, and account reviews to support revenue-cycle performance metrics.
Analyze complex insurance and patient accounts outstanding more than 31 days, follow up according to payer policy, and use collection strategies to accelerate resolution.
Investigate denials, overpayments, underpayments, and rejections; identify root causes; recommend solutions; prepare appeals; and coordinate timely claim resubmissions with internal and external partners.
Process approved account adjustments and issue overpayment refunds promptly.
Respond clearly, professionally, and sensitively to patient inquiries about balances, accounts, and claims.
Collaborate with payers and internal teams to resolve issues within timely-filing and organizational requirements.
Work 50–70 accounts per workday and document collection activity, claim status, and account disposition accurately under quality and productivity standards.
Maintain current knowledge of third-party payer and CMS reimbursement requirements and follow applicable policies, procedures, and guidelines.
Participate in billing and collections meetings, contribute to account resolution, and support continuous improvement.
Perform other duties as assigned by the supervisor or manager.