Sr. Patient Access Inbound Specialist

About the role

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.

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. The Specialty Pharmacy Services organization is the gateway to life-changing Biologic therapies. We are the first step in a patient’s journey toward better health, ensuring that access to critical treatments is seamless, compassionate, and efficient.

Responsibilities

• Manage inbound calls from patients, clients, physicians, and payors regarding patient updates and services provided, with a goal of one-call resolution
• Recognize and effectively communicate about insurance types, plan structures, when each type would be utilized, etc.
• Enter all communication and documentation in the Biologics’ MIS
• Assist with projects, such as yearly reverification
• Communicate with patients to gather appropriate insurance information
• Triage prescriptions to preferred pharmacies or HUB providers when Biologics is unable to serve the patient
• Appropriately process pharmacy claims in Biologics’ MIS
• Recognize and understand pharmacy claim responses and common resolutions
• Identify and report adverse events (AEs) and product complaints (PCs) to Pharmacovigilance
• Manage and reply to internal written communications and requests received via chat or email
• Utilize all available resources to secure copay assistance funding for patients in need of financial assistance, and communicate available resources to providers and patients
• Utilize clinical notes provided by providers to initiate prior authorizations, where allowed, via online portal, phone, or fax
• Request payor overrides when required
• Other related duties as assigned by Supervisor

Requirements

Typically requires 5+ years of related experience.

• 3+ years of related experience in healthcare, pharmacy operations, or patient services
• Strong communication, organizational, and problem-solving skills
• Familiarity with pharmacy systems, insurance processes, and patient assistance programs preferred

Pay

Our Base Pay Range for this position $19.87 - $33.11

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