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Health Services Specialist
Job description
Mc. Kesson 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 Mc.
Kesson 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. Title: Health Services Specialist Location: Cary, North Carolina Work Arrangement: Hybrid — Onsite two days per week Schedule: Monday–Friday, 10:00 AM–7:00 PM EST, with one Saturday shift required per month Work Authorization: Candidates must be authorized to work in the United States; sponsorship is not available for this position.
Position Summary
Join Biologics by Mc. Kesson as a Health Services Specialist and play an important role in helping patients and providers navigate the specialty medication access process. In this role, you will support prior authorizations, reimbursement activities, financial assistance coordination, and ongoing communication with patients, providers, and external partners.
This position is ideal for someone who is detail-oriented, highly organized, comfortable working in a fast-paced healthcare environment, and passionate about delivering compassionate, high-quality service to patients and providers. Work Location & Schedule Candidates must reside within a 50-mile radius of Cary, North Carolina.
This is a hybrid position requiring on-site work two days per week. Standard work hours are 10:00 AM–7:00 PM EST, Monday through Friday, with one Saturday shift required each month.
Key Responsibilities
Accurately enter all communications and documentation into the Biologics MIS system. Use available resources to help secure copay assistance funding for patients and communicate available financial support options to providers and patients. Communicate with providers regarding patient updates and document all interactions in Biologics MIS.
Review clinical notes provided by providers and initiate prior authorizations through online portals, phone, or fax. Follow up with third-party organizations regarding assistance applications until a determination is received for copay or free goods support. Manage inbound calls from patients, clients, physicians, practitioners, and clinics regarding services, financial support programs, and application status.
Coordinate with the benefits investigation team to initiate pharmacy dispensing workflows once assistance outcomes are determined. Triage prescriptions to preferred pharmacies or hub providers when Biologics is unable to serve the patient and confirm successful receipt by the appropriate pharmacy or hub. Identify and report adverse events and product complaints to clinicians Perform other related duties as assigned by the Supervisor.
Minimum Qualifications
Typically requires 3 or more years of related experience. Experience in insurance verification or benefits investigation is preferred Proficiency with Microsoft Office applications. Strong customer service, interpersonal, and communication skills. Strong organizational skills with the ability to prioritize work and perform effectively under pressure.
Highly motivated, committed to excellence, and able to maintain a positive attitude. Conscientious, detail-oriented, flexible, and adaptable. Entrepreneurial mindset with the ability to bring forward new ideas that support services and solutions. Certified Pharmacy Technician designation is preferred but not required.
Education
An associate degree or higher is preferred. Candidates must be authorized to work in the United States. Sponsorship is not available for this position. We are proud to offer a competitive compensation package at Mc. Kesson 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 Mc. Kesson'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 Mc. Kesson, please click here.
Our Base Pay Range for this position $17.99 - $29.98 Mc. Kesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by Mc. Kesson are using Mc. Kesson’s (or affiliated entities, like Cover. MyMeds or Rx. Crossroads) name in fraudulent emails, job postings or social media messages.
In light of these scams, please bear the following in mind: Mc. Kesson Talent Advisors will never solicit money or credit card information in connection with a Mc. Kesson job application. Mc. Kesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail.
Note that Mc. Kesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates. Mc. Kesson job postings are posted on our career site: careers.mckesson.com . Mc. Kesson is an Equal Opportunity Employer Mc. Kesson 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 Mc. Kesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Mc. Kesson 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) Disability_Accommodation@Mc.
Kesson.com or (Canada) Accessibility@mckesson.ca . Resumes or CVs submitted to this email box will not be accepted. Join us at Mc. Kesson!
Description copied from McKesson's careers page. Read the full posting before you apply.
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