Patient Access Specialist

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.

Job Description

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 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 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, financial support options

• Serve as a technical resource pertaining to adjudication while identifying areas for improvement.

• Entering 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’s 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

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

Our Base Pay Range for this position

$17.99 - $29.98

McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson’s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job po