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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