Health Service Specialist

Overview The Claims Processing and Refill Specialist supports patients’ access to therapy by managing prescription refill requests, processing pharmacy claims, and coordinating resolution of reimbursement‑related issues. The role serves as a liaison between patients, healthcare providers, pharmacies, payers, and internal teams to ensure timely medication access and continuity of care. Location This is a hybrid role and will require two days a week in office at our Cary, NC location. Compensation Target rate: $23–$24 per hour. Base pay range: $17.99–$29.98 per hour. Key Responsibilities Serve as the primary point of contact for patients, caregivers, healthcare providers, and other stakeholders participating in patient support programs. Provide program education, guidance, and ongoing support to help patients navigate treatment‐related processes and available resources. Coordinate patient support services, ensuring timely completion of program activities and adherence to established guidelines. Facilitate communication between patients, providers, pharmacies, payers, and internal teams to address barriers to care and therapy access. Support reimbursement and access‑related activities, including benefit investigations, prior authorization coordination, patient assistance programs, and other program services. Conduct outbound and inbound calls to gather information, provide updates, and ensure patients receive the needed support throughout their treatment journey. Accurately document all interactions and case activities within web‑based systems while maintaining compliance with company policies and regulatory requirements. Identify and elevate complex issues, patient concerns, or service‑related challenges to the appropriate team members for resolution. Collaborate with cross‑functional and multidisciplinary teams to improve patient experiences and program outcomes. Manage multiple cases and priorities while meeting quality, productivity, and service‑level expectations. Minimum Requirements Typically requires 3+ years of related experience. 3+ years of customer service, patient advocacy, or healthcare support experience. Excellent verbal and written communication skills and the ability to interact professionally with patients, providers, and healthcare stakeholders. Strong problem‑solving and critical‑thinking abilities with the capacity to make sound decisions within established policies and procedures. Proficiency with web‑based systems, telephony platforms, and Microsoft Office applications. Exceptional organizational skills and attention to detail. Ability to manage a high‑volume workload while maintaining accuracy and quality standards. Comfortable working independently with limited supervision and exercising judgment in routine and moderately complex situations. Knowledge of HIPAA, patient privacy regulations, and compliance requirements preferred. Ideal Candidate The ideal candidate is a patient‑focused professional who is passionate about helping individuals navigate the healthcare system and access the support they need. They are a strong communicator, thrive in a fast‑paced environment, and can effectively manage multiple priorities while maintaining a high level of accuracy and professionalism. They are resourceful, collaborative, and committed to delivering an exceptional patient and provider experience. Equal Employment Opportunity McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. McKesson is a committed Equal Employment Opportunity Employer and offers opportunities to all job seekers, including those with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to View email address on click.appcast.io (United States) or View email address on click.appcast.io (Canada). Resumes or CVs submitted to these email addresses will not be accepted. #J-18808-Ljbffr McKesson