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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

Job type

Contract

Experience level

Mid levelSenior

Salary

CA$43,466 - CA$77,044 per year

Degree requirement

High School Diploma

Location requirements

RemoteCanada

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