Health Services Specialist

McKesson; Cary (NC); On-site; USD 25,000 - 41,000; Full time

Job summary

McKesson is seeking a Health Services Specialist for Biologics to support patients and providers through the specialty medication access journey. You will handle prior authorizations, reimbursement processes, and financial assistance coordination to ensure timely care.

Join a hybrid team in Cary, NC, with on-site work two days per week and a focus on compassionate service, accurate documentation, and collaborative problem-solving for patients and clinicians alike.

Qualifications

• 3+ years of experience in insurance verification or benefits investigation.
• Proficient in Microsoft Office applications.
• Excellent customer service and interpersonal skills.
• Strong organizational skills with the ability to prioritize under pressure.
• Conscientious, detail-oriented, flexible and adaptable.

Responsibilities

• Enter all communication and documentation in the Biologics MIS system.
• Secure copay assistance funding for patients and communicate resources.
• Interact with providers regarding patient updates and document interactions.
• Initiate prior authorizations via portals, phone, or fax using clinical notes.
• Follow up on assistance applications with third-party entities until a determination.
• Manage inbound calls from patients, providers, and clinics regarding services and financial support.
• Coordinate with benefits investigation to start pharmacy dispensing workflow.
• Triage prescriptions to pharmacies or hub providers when Biologics cannot serve the patient.

Skills

Customer service

Insurance verification

Benefits investigation

Communication

Organizational skills

Prior Authorization

Education

Associate degree or higher

Tools

Microsoft Office

Job description

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.**Health Services Specialist – Biologics by McKesson**Join the Biologics by McKesson team as a Health Services Specialist, where you'll play a vital role in supporting patients and providers through the complex journey of specialty medication access. In this position, you’ll assist with prior authorizations, reimbursement processes, and financial assistance coordination. You'll serve as a key point of contact for healthcare providers and patients, ensuring timely communication, accurate documentation, and compassionate service. If you're detail-oriented, thrive in a fast-paced healthcare environment, and are passionate about making a difference in patient care, we’d love to hear from you. **Work Location & Schedule*** Candidates must reside within a 50-mile radius of Cary, North Carolina and will be Hybrid, **working on-site 2 days per week**.* Standard work hours are 11:00 AM to 8:00 PM EST, Monday through Friday.* This position requires one Saturday shift per month. **Key Responsibilities*** Enter all communication and documentation in the Biologics MIS system.* Utilize all available resources to secure copay assistance funding for patients in need of financial support, and communicate available resources to providers and patients.* Communicate with providers regarding patient updates and document all interactions in the Biologics MIS.* Use clinical notes provided by providers to initiate prior authorizations via online portals, phone, or fax.* Follow up on applications for assistance with third-party entities until a determination is made (copay or free goods support).* Manage inbound calls on manufacturer customer service lines from patients, clients, physicians, practitioners, and clinics regarding services, financial support programs, and applications.* Coordinate with the benefits investigation team to initiate the pharmacy dispensing workflow once assistance outcomes are determined.* Triage prescriptions to preferred pharmacies or hub providers when Biologics is unable to serve the patient and ensure receipt by the pharmacy or hub.* Identify and report adverse events (AEs) and product complaints (PCs) to clinicians.* Perform other related duties as assigned by the Supervisor. **Minimum Requirement**Typically requires 3+ years of related experience. **Education**Associate degree or higher preferred. **Certification**Certified Pharmacy Technician (CPhT) preferred but not required. **Critical Skills*** At least 3+ years of experience in insurance verification or benefits investigation preferred.* Proficiency in Microsoft Office applications.* Excellent customer service and interpersonal skills.* Strong organizational skills with the ability to prioritize and work under pressure.* Highly motivated, committed to excellence, and demonstrates a positive attitude.* Conscientious, detail-oriented, flexible, and adaptable.* Entrepreneurial mindset with a drive to bring new ideas to services and solutions.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