Top 20 Prior authorization specialist Jobs in Durham, Nc

Health Services Specialist
McKesson —Cary, NC
- $17.99 - $29.98 an hour
- Monday to Friday
- Hybrid work
- Mid-level
- 3 years
- US work authorization
13d
Patient Access Specialist
McKesson —Cary, NC
- $15.93 - $26.55 an hour
- Hybrid work
- Computer literacy
- HIPAA
- Office
- Prescription drug insurance
13d
Authorization Specialist
Raleigh Medical Group PA —Raleigh, NC
- Full-time
- Customer service
- Medical office experience
- HIPAA
- Health savings account
- Disability insurance
Admissions Coordinator & Authorization/UR Specialist
Joshua Tree Health —Apex, NC
- Full-time
- HIPAA
- 3 years
- Data entry
Quick Apply
7d
Remote Processing Specialist
CLEAResult Consulting Inc. —Raleigh, NC
- $16 an hour
- Full-time
- Remote
- US work authorization
- Organizational skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
23h
Remote Energy Efficiency Customer Support Specialist
CLEAResult Consulting Inc. —Raleigh, NC
- $17 an hour
- Full-time
- Remote
- Sales
- High school diploma or GED
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
23h
Research Administration Program Specialist
North Carolina State University —Raleigh, NC
- $36,381 - $91,526 a year
- Full-time
- Mid-level
- Office
- University
- Paid holidays
- Disability insurance
3h
Executive Care Coordinator
Valeris, Inc. —Raleigh, NC
- Full-time
- Bilingual
- Background check
- 5 years
- Health savings account
- AD&D insurance
Quick Apply
9d
Epic Ambulatory Bones Application Engineer Specialist - 6079188
Accenture —Raleigh, NC
- $47.85 - $57.85 an hour
- Full-time
- Remote
- 5 years
- High school diploma or GED
- US work authorization
- Disability insurance
- Health insurance
Client Care Specialist - Full Time
FYZICAL Therapy and Balance Centers —Raleigh, NC
- $15 - $24 an hour
- Full-time
- High school diploma or GED
- Clinic
- Computer skills
- Paid holidays
- Health insurance
Quick Apply
Remote Bilingual Customer Support Specialist
CLEAResult Consulting Inc. —Raleigh, NC
- $18.75 an hour
- Full-time
- Remote
- Spanish
- Sales
- English
- Health insurance
- Dental insurance
Quick Apply
23h
Clinic Relations Assistant
TriLumos Physical Therapy —Raleigh, NC
- $17.30 - $24.85 an hour
- Part-time
- Private practice
- Google Workspace
- Research
- Paid training
- Flextime
Quick Apply
2d
Medical Front Desk Receptionist
US Foot & Ankle Specialists —Raleigh, NC
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Office Coordinator/ Office Administrator
SV Medical Clinic —Apex, NC
- $16 - $21 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Employee discount
- Flexible schedule
Quick Apply
Front Desk Receptionist
US Foot & Ankle Specialists —Cary, NC
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Pharmacist :: Raleigh, NC
Software Technology Inc —Raleigh, NC
- Microsoft Excel
- Computer literacy
- Bachelor of Science
Quick Apply
White Glove OEM Account Manager-2
Industrial Connections & Solutions LLC —Mebane, NC
- Full-time
- Mid-level
- Travel
- US work authorization
- Health savings account
- AD&D insurance
Quick Apply
8d

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Health Services Specialist

McKesson -
Cary, NC

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Job Details

$17.99 - $29.98 an hour
13 days ago

Qualifications

Productivity software

Full 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.

Title: Health Services Specialist

Location: Cary, North Carolina
Work Arrangement: Hybrid — Onsite two days per week
Schedule: Monday–Friday, 10:00 AM–7:00 PM EST, with one Saturday shift required per month
Work Authorization: Candidates must be authorized to work in the United States; sponsorship is not available for this position.

Position Summary

Join Biologics by McKesson as a Health Services Specialist and play an important role in helping patients and providers navigate the specialty medication access process. In this role, you will support prior authorizations, reimbursement activities, financial assistance coordination, and ongoing communication with patients, providers, and external partners.

This position is ideal for someone who is detail-oriented, highly organized, comfortable working in a fast-paced healthcare environment, and passionate about delivering compassionate, high-quality service to patients and providers.

Work Location & Schedule

Candidates must reside within a 50-mile radius of Cary, North Carolina. This is a hybrid position requiring on-site work two days per week. Standard work hours are 10:00 AM to 7:00 PM EST, Monday through Friday, with one Saturday shift required each month.

Key Responsibilities

Accurately enter all communications and documentation into the Biologics MIS system.
Use available resources to help secure copay assistance funding for patients and communicate available financial support options to providers and patients.
Communicate with providers regarding patient updates and document all interactions in Biologics MIS.
Review clinical notes provided by providers and initiate prior authorizations through online portals, phone, or fax.
Follow up with third-party organizations regarding assistance applications until a determination is received for copay or free goods support.
Manage inbound calls from patients, clients, physicians, practitioners, and clinics regarding services, financial support programs, and application status.
Coordinate with the benefits investigation team to initiate pharmacy dispensing workflows once assistance outcomes are determined.
Triage prescriptions to preferred pharmacies or hub providers when Biologics is unable to serve the patient and confirm successful receipt by the appropriate pharmacy or hub.
Identify and report adverse events and product complaints to clinicians
Perform other related duties as assigned by the Supervisor.

Minimum Qualifications

Typically requires 3 or more years of related experience.
Experience in insurance verification or benefits investigation is preferred
Proficiency with Microsoft Office applications.
Strong customer service, interpersonal, and communication skills.
Strong organizational skills with the ability to prioritize work and perform effectively under pressure.
Highly motivated, committed to excellence, and able to maintain a positive attitude.
Conscientious, detail-oriented, flexible, and adaptable.
Entrepreneurial mindset with the ability to bring forward new ideas that support services and solutions.
Certified Pharmacy Technician designation is preferred but not required.

Education

An associate degree or higher is preferred.

Candidates must be authorized to work in the United States. Sponsorship is not available for this position.

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,

Our Base Pay Range for this position

$17.99 - $29.98

McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by 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 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) [email protected] or (Canada) [email protected]. Resumes or CVs submitted to this email box will not be accepted.

Join us at McKesson!

Apply Now

Refine Your Search

prior authorization specialist jobs in durham, nc

Health Services Specialist

Patient Access Specialist

Authorization Specialist

Admissions Coordinator & Authorization/UR Specialist

Remote Processing Specialist

Remote Energy Efficiency Customer Support Specialist

Research Administration Program Specialist

Executive Care Coordinator

Epic Ambulatory Bones Application Engineer Specialist - 6079188

Client Care Specialist - Full Time

Remote Bilingual Customer Support Specialist

Clinic Relations Assistant

Medical Front Desk Receptionist

Office Coordinator/ Office Administrator

Front Desk Receptionist

Pharmacist :: Raleigh, NC

White Glove OEM Account Manager-2

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