Patient Access Specialist

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 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 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 1+ years of related experience.

Education & Certification

• CPhT (Certified Pharmacy Technician) preferred, not required. Must be current, without restrictions, and in good standing
• High school diploma required

Critical Skills

• 1+ 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

Additional Skills

• Strong 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 skills
• Proficiency in quickly and thoroughly understanding patient and provider needs
• Demonstrated ability to communicate complex concepts with high efficacy

Pay and 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. 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

Our Base Pay Range for this position $15.93 - $26.55

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McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.

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McKesson job postings are posted on our career site: careers.mckesson.com.