Technical service specialist providing post - sale technical support for healthcare products via phone, chat, and text. Troubleshooting installations, activations, compatibility, and product inquiries in a structured call center.
About the role
- Personal Care Specialist supporting documentation compliance and processing prior authorizations for healthcare. Coordinating as needed with patients, pharmacies, and insurance providers.
Responsibilities
- 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
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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