Health Services Specialist

McKesson•Cary, NC

1d•Hybrid

About The Position

The Health Services Specialist at Biologics by McKesson supports patients and healthcare providers through specialty medication access. The role assists with prior authorizations, reimbursement processes, and financial assistance coordination, serving as a point of contact to ensure timely communication, accurate documentation, and compassionate service. The position is hybrid, with two days per week onsite. Candidates must reside within 50 miles of Cary, North Carolina. Standard hours are 11:00 AM to 8:00 PM EST, Monday through Friday, with one Saturday shift per month.

Requirements

Typically requires 3 or more years of related experience.
Proficiency in Microsoft Office applications.
Excellent customer service and interpersonal skills.
Strong organizational skills and the ability to prioritize and work under pressure.
Highly motivated, committed to excellence, and demonstrates a positive attitude.
Conscientious, detail-oriented, flexible, and adaptable.
Entrepreneurial mindset and drive to bring new ideas to services and solutions.

Nice To Haves

Associate degree or higher preferred.
Certified Pharmacy Technician (CPhT) preferred but not required.
At least 3 years of experience in insurance verification or benefits investigation preferred.

Responsibilities

Enter all communication and documentation in the Biologics MIS system.
Use available resources to secure copay assistance funding and communicate financial support resources to providers and patients.
Communicate patient updates to providers and document interactions in the Biologics MIS.
Use provider clinical notes to initiate prior authorizations through online portals, phone, or fax.
Follow up with third-party entities on assistance applications until a determination is made for copay or free goods support.
Manage inbound calls from patients, clients, physicians, practitioners, and clinics regarding services, financial support programs, and applications.
Coordinate with the benefits investigation team to initiate pharmacy dispensing workflows after assistance outcomes are determined.
Triage prescriptions to preferred pharmacies or hub providers when Biologics cannot serve the patient, and ensure the pharmacy or hub receives the prescription.
Identify and report adverse events and product complaints to clinicians.
Perform other related duties as assigned by the Supervisor.