Patient Access Specialist

McKesson•Cary, NC

18h

About The Position

The Specialty Pharmacy Services organization is the gateway to life-changing Biologic therapies. We are the first step in a patient’s journey toward better health, ensuring that access to critical treatments is seamless, compassionate, and efficient. From the moment a prescription is written, we are there—navigating complexities, removing barriers, and championing each patient’s path to care. As a Patient Access team member, you are a vital advocate and guide. You bring clarity to the complex, answering pharmacy support lines with empathy, managing prior authorizations with precision, and connecting patients to the financial resources they need. Whether it’s ensuring insurance coverage for therapy or securing copay support, your work ensures that we turn barriers into bridges for every patient. This role is not just about process, it’s about purpose. It’s about being the difference between delay and delivery, between uncertainty and hope.

Requirements

Minimum of associate degree or equivalent experience
3+ years of related experience

Responsibilities

Recognize and effectively communicate about insurance types and when each type would be utilized
Enter all communication and documentation in the Biologics’ MIS
Assist with projects, such as yearly reverification
Communicate with patients to gather appropriate insurance information
Triage prescriptions to preferred pharmacies or HUB providers when Biologics is unable to serve the patient
Appropriately process pharmacy claims in Biologics’ MIS
Recognize and understand pharmacy claim responses
Manage inbound calls from patients, clients, physicians, and payors regarding patient updates and services provided
Identify and report adverse events (AEs) and product complaints (PCs) to clinicians
Manage and reply to internal written communications and requests received via chat or email
Utilize all available resources to secure copay assistance funding for patients in need of financial assistance, and communicate available resources to providers and patients
Utilize clinical notes provided by providers to initiate prior authorizations, where allowed, via online portal, phone, or fax
Request payor overrides when required
Other related duties as assigned by Supervisor