Patient Access Specialist

McKesson Corporation; Cary (NC); Hybrid; USD 24,783 - 41,300; Full time

Benefits offered by this job

Competitive compensation package

5% annual bonus

Job summary

McKesson Corporation is hiring a Patient Access Specialist in Cary, NC. This hybrid role requires candidates to be in the office twice a week and involves managing benefits investigations, prior authorizations, and patient refill coordination.

The ideal candidate should have at least three years of experience in a pharmacy, with a high school diploma and proficiency in insurance eligibility processes. A competitive compensation package of $24-$25 per hour plus bonus is offered.

Qualifications

• Minimum 3 years of experience in pharmacy or health care.
• CPhT certification is preferred but not required.

Responsibilities

• Manage benefits investigations and prior authorization support.
• Communicate with providers regarding medication prior authorization.
• Schedule medication deliveries and coordinate patient refills.
• Troubleshoot insurance claims rejections.

Skills

Insurance eligibility processes

Prior authorization processes

Microsoft applications proficiency

Problem-solving skills

Detail-oriented

Team collaboration

Education

High school diploma

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 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. Candidates will be required to be in the office twice 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.
• 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’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.

Benefits

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. In addition to base pay, other compensation, such as an annual bonus or long‑term incentive opportunities may be offered.

Our Base Pay Range for this position: $17.99 – $29.98.

Equal Employment Opportunity

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) [e-mail] or (Canada) [e-mail]. Resumes or CVs submitted to this email box will not be accepted.