Health Services Specialist
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 point of contact for healthcare providers and patients, with an emphasis on 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, and the role requires one Saturday shift per month. The position typically requires at least three years of related experience. McKesson states that sponsorship is not available and candidates must be authorized to work in the United States. The listed base pay range is $17.99–$29.98. Other compensation, such as an annual bonus or long-term incentive opportunities, may also be offered. McKesson describes its compensation package as part of its Total Rewards and says compensation is determined by factors including performance, experience and skills, equity, market evaluations, and geographic markets.
Requirements
- Typically requires at least 3 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.
- 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 is preferred.
- Associate degree or higher is preferred.
- Certified Pharmacy Technician (CPhT) certification is preferred but not required.
Responsibilities
- Enter all communication and documentation in the Biologics MIS system.
- Use available resources to secure copay assistance funding for patients who need financial support, and communicate available 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, 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 about 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 cannot 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.
Benefits
- Competitive compensation package described as part of McKesson Total Rewards.
- An annual bonus or long-term incentive opportunities may be offered.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
