Patient Access Specialist

Mission At Biologics by McKesson, our mission is to simplify access to medication and deliver personalized care that helps patients achieve the best‑possible outcomes — one patient, one partner, one therapy at a time. Purpose The Patient Access Specialist, Rare/Orphan will be responsible for benefits investigation, prior authorization support, and claims adjudication, as well as refill management and delivery coordination functions in accordance with company policies and procedures. Compensation The target budget for this role is between $24 and $25 an hour with a 5% bonus. Location This is a hybrid role. Candidate will be required to be in office two times a week and must live within a drivable distance of our Cary, NC location. Key Responsibilities Locate and enter accurate prescription insurance information on patient’s profile by processing eligibility checks and adjudicating pharmacy claims. Adjudicate claims and troubleshoot rejections so that the correct information is communicated to the patient. Communicate the need for medication prior authorization (PA) to providers and serve as a resource to the provider during the PA process. Manage inbound calls from patients, clients, physicians, practitioners and clinics regarding inquiries about order status, services provided, and financial support options. Serve as a technical resource pertaining to adjudication while identifying areas for improvement. Enter detailed, accurate, and grammatically correct progress notes to ensure proper documentation on patient profiles. Contact patients to schedule medication delivery and payment so that accurate information is included in their profile and distribution can successfully send their package in a timely manner. Manage patient refill coordination and follow‑up to ensure patients comply with their therapy plan. Identify and report adverse events (AEs) and product complaints (PCs) to clinicians to ensure patient safety. Perform other duties as assigned (above tasks may vary slightly depending on the specific team/program requirements). Minimum Requirement Typically requires 3+ years of related experience. Education High school diploma required. Certification CPhT (Certified Pharmacy Technician) preferred, not required. Must be current, without restrictions, and in good standing. Critical Skills 3+ years prior experience working in a pharmacy or other health care setting required. Experience with insurance eligibility and prior authorization processes. Competent in basic computer skills and proficiency in Microsoft applications. Conscientious, detail oriented with the ability and desire to solve problems to help our patients. Flexible, adaptable, and the ability to effectively work in a team setting to accomplish a common goal. Highly motivated and committed to excellence with a positive attitude. 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 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