Personal Care Specialist

This is a fully remote position, open to applicants in Canada.

📋 Description

• Document patient interactions, update case notes in pharmacy systems, and uphold privacy standards.

• Handle prior authorization requests by gathering clinical documentation, filling out payer-specific forms, submitting requests, and tracking their status.

• Confirm insurance coverage by examining patient insurance cards, reviewing formulary information, and recording coverage details.

• Assist with financial assistance enrollment by obtaining eligibility information, completing manufacturer copay applications, and submitting necessary paperwork.

• Manage specialty pharmacy referrals by processing forms, confirming insurance benefits, scheduling patient communications, and coordinating with specialty pharmacy teams.

• Address routine patient inquiries, provide status updates, respond to basic questions using provided scripts, and escalate more complex issues.

• Monitor pending prior authorizations by tracking submission dates, following up with payers, and informing senior staff of any delays or denials.

⛳️ Requirements

• High School Diploma/GED or equivalent experience is mandatory.

• An Associate's degree in healthcare administration, life sciences, pharmacy technology, or a related field, or equivalent experience is preferred.

• A minimum of 3 years of experience in pharmacy support, prior authorization processing, insurance verification, or healthcare administrative roles is required.

• HIPAA or relevant compliance training is essential.

🏝️ Benefits

• Medical, dental, and vision care.

• Backup dependent care.

• Adoption assistance.

• Infertility coverage.

• Family building support.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• Training programs.

• Professional development resources.

• Mentorship programs.

• Employee resource groups.

• Volunteer activities.