Health Services Specialist

McKesson•Cary, NC

2d•Hybrid

About The Position

Join the Biologics by McKesson team as a Health Services Specialist, supporting patients and providers through the specialty medication access process. The role assists with prior authorizations, reimbursement processes, and financial assistance coordination. It serves as a key point of contact for healthcare providers and patients, providing timely communication, accurate documentation, and compassionate service. Candidates must reside within 50 miles of Cary, North Carolina. The position is hybrid, with on-site work two days per week. 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.
Motivated and committed to excellence, with a positive attitude.
Conscientious, detail-oriented, flexible, and adaptable.
Entrepreneurial mindset and drive to bring new ideas to services and solutions.
Must be authorized to work in the United States; sponsorship is not available.

Nice To Haves

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

Responsibilities

Enter all communications and documentation in the Biologics MIS system.
Use available resources to secure copay assistance funding for patients and communicate available resources to providers and patients.
Communicate patient updates to providers and document all interactions in the Biologics MIS.
Use provider clinical notes to initiate prior authorizations through online portals, by phone, or by fax.
Follow up with third-party entities on assistance applications until a determination is made for copay or free-goods support.
Manage inbound calls on manufacturer customer service lines from patients, clients, physicians, practitioners, and clinics regarding services, financial support programs, and applications.
Coordinate with the benefits investigation team to initiate the pharmacy dispensing workflow after assistance outcomes are determined.
Triage prescriptions to preferred pharmacies or hub providers when Biologics is unable to serve the patient, and ensure the pharmacy or hub receives them.
Identify and report adverse events and product complaints to clinicians.
Perform other related duties as assigned by the Supervisor.