About the role

Personal Care Specialist supporting pharmacy authorizations, insurance verification, and patient assistance for Cencora’s healthcare services. Managing patient inquiries and specialty pharmacy referrals on a 12-month contract.

Responsibilities

Record patient interactions and update case notes in pharmacy systems while maintaining privacy requirements
Process prior authorization requests by collecting clinical documentation, completing payer-specific forms, submitting requests, and tracking status
Verify insurance coverage by reviewing patient insurance cards, checking formulary information, and documenting coverage details
Support financial assistance enrollment by collecting eligibility information, completing manufacturer copay applications, and submitting paperwork
Coordinate specialty pharmacy referrals by processing forms, verifying insurance benefits, scheduling patient calls, and liaising with specialty pharmacy teams
Respond to routine patient inquiries, provide status updates, answer basic questions using provided scripts, and escalate complex issues
Track pending prior authorizations by monitoring submission dates, following up with payers, and notifying senior staff of delays or denials

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