Personal Care Specialist

Personal Care Specialist - 12 month contract

Location: Remote, Ontario, Canada

Category: Customer Operations and Service

Full time

Job Details

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.

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.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.