About this opportunity
McKesson lists this Patient Access Specialist opportunity in cary, North Carolina. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Patient Access Specialist, Rare/OrphanAt 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.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 rate for this is between $23 and $24 an hour along with a 5% bonus.Location: This is a hybrid role and will require two days a week in office at our Cary, NC location.Key ResponsibilitiesLocate 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 patientCommunicate 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 optionsServe 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 mannerManage patient refill coordination and follow-up to ensure patients comply with their therapy planIdentify and report adverse events (AEs) and product complaints (PCs) to clinicians to ensure patient's safetyPerform other duties as assigned (above tasks may vary slightly depending on the specific team/program requirements.)Minimum RequirementTypically requires 1+ years of related experience.Education & CertificationCPhT (Certified Pharmacy Technician) preferred, not required. Must be current, without restrictions, and in good standingHigh school diploma requiredCritical Skills1+ years prior experience working in a pharmacy or other health care setting requiredExperience with insurance eligibility and prior authorization processesCompetent in basic computer skills and proficiency in Microsoft applicationsConscientious, detail oriented with the ability and desire to solve problems to help our patientsFlexible, adaptable, and the ability to effectively work in a team setting to accomplish a common goalHighly motivated and committed to excellence with a positive attitudeAdditional SkillsStrong interpersonal and communication skills; able to engage empathetically with patients and caregivers.Understanding of HIPAA, patient privacy, and compliance regulations.Strong prioritization and time management skillsProficiency in quickly and thoroughly understanding patient and provider needsDemonstrated ability to communicate complex concepts with high efficacyMcKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by or McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind: McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.McKesson job postings are posted on our career site: careers.mckesson.com.McKesson is an Equal Opportunity EmployerMcKesson 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 or us at McKesson!
Worksite address
cary, NC, 27511, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.