Personal Care Specialist supporting Cencora patients with medication access, reimbursement, copay management, and pharmacy coordination. Remote home-office role handling patient calls and coverage challenges.
Responsibilities
Serve as the consistent primary contact for patients throughout their medication journey
Guide and support patients with reimbursement, copay management, and pharmacy coordination
Communicate with patients to gather information and educate them on program services, injection training, pharmacy options, and coverage support
Coordinate and maintain prescription coverage and renewals
Interact with pharmacies, insurance companies, and other partners to resolve obstacles and ensure timely medication access
Collaborate with Field Case Managers and the broader care network on patient onboarding and ongoing support
Adapt services for diverse clinic and pharmacy models and connect with preferred pharmacy teams and biologic coordinators as required by territory
Anticipate challenges, proactively solve problems, and provide tailored patient guidance
Manage adverse event reporting and perform additional program support or ad hoc duties
Handle patient calls as part of a patient queue
Requirements
Bilingualism (English/French) is an asset (requirement for province of Quebec)
Experience in customer service setting
High School Diploma/GED or equivalent experience required
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
Exceptional customer service skills and phone etiquette
Detail and results oriented, with strong analytical and organizational skills
Excellent time management and sense of urgency
Ability to collaborate effectively and work autonomously in a remote home office environment
Strong written and verbal communication skills in English and French (for Quebec/New Brunswick)
Ability to manage multiple priorities and adapt to change and ambiguity
Proficiency with Microsoft Office and confidence using technology
Commitment to continuous improvement and adherence to program standards
Post-secondary education certificate, diploma, or degree (preferred)
Experience in reimbursement, call center/pharmaceutical industry, health insurance, or clinical support (asset)
Knowledge of medical information, CRM systems (Salesforce), and pharmacy operations (preferred)
Associate's degree in healthcare administration, life sciences, pharmacy technology, or a related field or equivalent experience preferred
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