Medical Billing and Collections Analyst

Contract until 7/19/2027 with potential for conversion to full time after depending on budget. Therefore US Citizen/non conditional 10 year Green card only)

Onsite 1 day per week at
11800 Weston Parkway Cary, NC 27513

Please have your candidates answer the following screening questions:

• How many years of hands-on medical billing and collections experience do you have, including submitting claims and working denials, rejections, and unpaid balances?
• When a claim is denied or underpaid, what steps do you typically take to research and resolve it?
• Tell me about your experience working insurance A/R. How do you prioritize outstanding claims and make sure accounts are followed through to payment?

The Medical Billing and Collections Analyst reports to the Manager of Billing and Administration and supports Biologics by McKesson locations in Cary, NC, Fort Worth, TX, and Clermont, KY. This individual contributor is responsible for accurately and timely processing medically billed claims, researching and resolving claim denials and unpaid balances, supporting collection activities, and completing related invoicing and administrative transactions. The Analyst works closely with Operations, Payer Access, Cash Applications, Account Management, Compliance, and Finance to improve billing accuracy, accelerate reimbursement, maintain effective controls, and support the revenue cycle across Oncology, Rare & Orphan, and Cell & Gene product lines.

• Prepare, review, and submit medically billed claims through Care Tend and Way Star in accordance with payer requirements and established procedures.
• Verify patient, insurance, authorization, coding, and supporting documentation information before claim submission; correct identified errors promptly.
• Monitor claim status, aging, denials, rejections, and underpayments; research root causes and complete timely follow-up, correction, resubmission, reconsideration, or appeal activities.
• Contact payers, patients, and internal partners as appropriate to resolve outstanding balances and document all collection activity accurately.
• Support manufacturer chargeback activities by preparing invoices, submitting required documentation, monitoring payment status, and resolving discrepancies.
• Process billing and invoicing transactions associated with the Exelan VA Lenalidomide program and other assigned programs.
• Reconcile claim, remittance, payment, adjustment, and account information across applicable systems; elevate variances that cannot be solved within established guidelines.
• Maintain complete and accurate account notes, work queues, appeal records, payer correspondence, and supporting documentation.
• Complete assigned administrative functions, including patient statement distribution, incoming mail review, and routing checks or other payments to the designated lockbox process.
• Follow internal controls, policies, standard operating procedures, payer requirements, privacy standards, and compliance expectations.
• Track productivity, quality, denial, collection, and aging metrics; prepare recurring reports and communicate emerging trends or barriers to the Manager of Billing and Administration.
• Identify recurring billing or collection issues and recommend practical process improvements that increase accuracy, efficiency, and reimbursement.
• Provide responsive, customer‑focused service while collaborating with patients, payers, manufacturers, Operations, Payer Access, Cash Applications, Account Management, Compliance, Finance, and other support teams.
• Support additional Accounts Receivable, billing, collection, and special‑project…