Personal Care Specialist
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Job Description
Personal Care Specialist supporting pharmacy authorizations, insurance verification, and patient assistance for Cencora’s healthcare services. Managing patient inquiries and specialty pharmacy referrals on a 12-month contract.
Responsibilities:
- Record patient interactions and update case notes in pharmacy systems while maintaining privacy requirements
- Process prior authorization requests by collecting clinical documentation, completing payer-specific forms, submitting requests, and tracking status
- Verify insurance coverage by reviewing patient insurance cards, checking formulary information, and documenting coverage details
- Support financial assistance enrollment by collecting eligibility information, completing manufacturer copay applications, and submitting paperwork
- Coordinate specialty pharmacy referrals by processing forms, verifying insurance benefits, scheduling patient calls, and liaising with specialty pharmacy teams
- Respond to routine patient inquiries, provide status updates, answer basic questions using provided scripts, and escalate complex issues
- Track pending prior authorizations by monitoring submission dates, following up with payers, 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:
- Medical, dental, and vision care
- Backup dependent care
- Adoption assistance
- Infertility coverage
- Family building support
- Behavioral health solutions
- Paid parental leave
- Paid caregiver leave
- Training programs
- Professional development resources
- Mentorship programs
- Employee resource groups
- Volunteer activities
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