Personal Care Specialist - 12 month contract

Cencora•Mississauga, ON

7d•CA$43,466 - CA$77,044•Onsite

About The Position

This job profile description is a standardized, non-contractual reference description and global reference tool provided for organizational consistency and talent architecture purposes across Cencora. It does not alter actual job duties, responsibilities, reporting lines, working conditions, grading, compensation, or other essential terms and conditions of employment. Actual duties and responsibilities may vary based on business needs, local requirements, and operational practices. Where a team member's role is governed by an employment agreement, local terms and conditions, prior job description or collective bargaining agreement, those documents shall prevail in case of any inconsistency. Mandatory local laws shall also prevail. 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.
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.

Nice To Haves

Associate's degree in healthcare administration, life sciences, pharmacy technology, or a related field or equivalent experience preferred.

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.