Personal Care Specialist
Location
Canada
Posted
2 days ago
Salary
$43.5K - $77.0K / year
Seniority
Senior
Job Description
Personal Care Specialist
Recruiting.com
• Supports documentation compliance by recording patient interactions, updating case notes in pharmacy systems, and maintaining privacy requirements • Processes prior authorization requests by collecting clinical documentation, completing payer-specific forms using templates, submitting requests, and tracking status • Verifies insurance coverage by reviewing patient insurance cards, checking formulary information, and documenting coverage details • Supports financial assistance enrollment by collecting patient eligibility information, completing manufacturer copay applications, and submitting paperwork to program administrators • Coordinates specialty pharmacy referrals by processing forms, verifying insurance benefits, scheduling patient calls, and liaising with specialty pharmacy teams • Responds to routine patient inquiries by providing status updates, answering basic questions using provided scripts, and escalating complex issues • Tracks pending prior authorizations by monitoring submission dates, following up with payers on status, and notifying senior staff of delays or denials
Job Requirements
- High School Diploma/GED or equivalent experience required
- Associate's degree in healthcare administration, life sciences, pharmacy technology, or a related field or equivalent experience preferred
- 3+ years of experience in pharmacy support, prior authorization processing, insurance verification, or healthcare administrative roles required
- Health Insurance Portability and Accountability Act (HIPAA) or applicable compliance training required
Benefits
- Health insurance
- Comprehensive suite of benefits focusing on wellness
- Support for working families including backup dependent care, adoption assistance, infertility coverage, paid parental leave, and paid caregiver leave
- Professional development resources
- Opportunities to participate in mentorship programs and volunteer activities
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