Health Service Specialist

The Claims Processing and Refill Specialist plays a critical role in supporting patients' access to therapy by managing prescription refill requests, processing pharmacy claims, and coordinating resolution of reimbursement-related issues. This 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 for this role is between $23 and $24 per hour. Base pay range: $17.99 - $29.98. Key Responsibilities Serve as a 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 help 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 support needed 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 escalate 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. Critical Skills 3+ years of customer service, patient advocacy, or healthcare support experience. Excellent verbal and written communication skills with the ability to interact professionally with patients, providers, and healthcare stakeholders. Ability to build trust and maintain positive relationships with a diverse patient population. Strong problem-solving and critical-thinking abilities with the capacity to make sound decisions within established policies and procedures. Experience working with patient support programs, reimbursement services, healthcare access programs, specialty pharmacy, or related healthcare environments preferred. 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. McKesson is an Equal Opportunity Employer 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. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers 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 (United States) View email address on click.appcast.io or (Canada) View email address on click.appcast.io. Resumes or CVs submitted to this email box will not be accepted. #J-18808-Ljbffr McKesson Corporation