Medical Billing and Collections Analyst

Company: MCKESSON
Location: Cary
Posted on: May 18, 2025

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.

Join Our Team at Biologics by McKesson: Elevate Patient Care with Us!

Position: Senior AR Billing and Collections Specialist

Our Mission:
At Biologics by McKesson, we are dedicated to simplifying medication access and delivering personalized care to ensure the best possible outcomes for every patient, partner, and therapy-one at a time.

Role Overview:
As a Senior AR Medical 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:

• Strategic Collections: Manage high volume accounts receivable daily to meet key revenue cycle performance indicators. Communicate effectively with insurance companies and internal stakeholders to resolve billing issues and discrepancies. Implement strategies to reduce accounts receivable and improve cash flow.
  • Medical Plan Billing: Act as a Subject Matter Expert and a resource to team members for medical billing. Prepare and process medical pharmacy claims, ensuring all necessary documentation is accurate and complete. Promptly investigate and resolve unpaid or denied claims, maintain detailed records of actions taken.
  • Timely Account Adjustments: Process approved adjustments and promptly issue overpayment refunds.
  • Claim Expertise: Research and resolve denials, underpayments, rejections; handle claim appeals efficiently.
  • Collaborative Resolution: Work with internal teams on account resolution and claim 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 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 assigned by the manager.
    
    Minimum Requirements:
    
    Degree or equivalent andtypically requires 2+ years ofrelevant experience.
    
    Qualifications/Requirements:
    
    • Education: Minimum high school diploma; a 4-year degree or equivalent work experience is highly preferred.
    • Certifications: Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS)
    • Analytical Skills: Strong problem-solving abilities to resolve billing discrepancies and issues. Ability to analyze billing and AR data and reports
    • Experience: At least 2 years in billing and collection within the pharmacy and/or medical industry. Experience with electronic medical claim submission, investigating electronic file formats 270/271, 276/277 and completing EDI/ERA enrollment forms is required.
    • Industry Knowledge: Familiarity with ICD-10, HCPCS, NDC, and HIPAA regulations.
    • Technical Proficiency: Strong understanding of AR billing and collection workflows and strong proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).
    • Self-Motivation: Ability to work independently and adapt quickly to changing business needs.
    • Accounting Acumen: Knowledge of general accounting principles.
      Join us at Biologics by McKesson and be a vital part of a team that is transforming patient care. Apply your skills to make a real impact on the lives of those we serve. We look forward to welcoming you to our dedicated team!
      
      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
      
      $23.63 - $39.39
      
      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!

Keywords: MCKESSON, Greensboro , Medical Billing and Collections Analyst, Accounting, Auditing , Cary, North Carolina