Personal Care Specialist

Accountabilities

• • Maintain accurate patient documentation by recording interactions, updating case notes in pharmacy systems, and following applicable privacy and confidentiality requirements.
  • Process prior authorization requests by gathering clinical documentation, completing payer-specific forms, submitting requests, and monitoring progress through resolution.
  • Verify patient insurance coverage by reviewing insurance information, checking formulary details, documenting benefits, and identifying relevant coverage requirements.
  • Support financial assistance enrollment by collecting eligibility information, completing manufacturer copay applications, and submitting required documentation to program administrators.
  • Coordinate specialty pharmacy referrals by processing referral forms, verifying insurance benefits, scheduling patient communications, and liaising with pharmacy teams.
  • Respond to routine patient inquiries by providing timely status updates and answering basic questions using established guidelines and scripts.
  • Monitor pending prior authorizations, follow up with payers regarding outstanding requests, and escalate delays, denials, or complex cases to senior team members.
  • Manage multiple cases and administrative priorities while maintaining accuracy, service quality, and compliance with established procedures.

  Requirements

  • High school diploma/GED or equivalent experience is required; an associate degree in healthcare administration, life sciences, pharmacy technology, or a related field is preferred.
  • At least 3 years of experience in pharmacy support, prior authorization processing, insurance verification, healthcare administration, or a closely related environment.
  • Knowledge of healthcare insurance processes, prior authorizations, pharmacy operations, or patient assistance programs.
  • Training or working knowledge of HIPAA or applicable privacy and healthcare compliance requirements.
  • Strong attention to detail and accuracy when handling patient records, insurance information, forms, and case documentation.
  • Excellent organizational and time-management skills, with the ability to track multiple cases, deadlines, and follow-ups simultaneously.
  • Strong written and verbal communication skills, with a professional, empathetic approach to patient interactions.
  • Ability to work independently while knowing when to escalate complex, sensitive, or unresolved issues.
  • Comfortable working with pharmacy, healthcare, and administrative systems and maintaining accurate electronic records.

  Benefits

  • 12-month full-time contract opportunity.
  • Salary range: CAD $43,466–$77,044 annually.
  • Access to comprehensive healthcare benefits, including medical, dental, and vision coverage.
  • Wellness resources supporting physical, emotional, financial, and social well-being.
  • Family-focused programs that may include dependent care support, adoption assistance, family-building resources, behavioral health solutions, and paid parental or caregiver leave.
  • Training and professional development opportunities to support career growth.
  • Access to mentorship programs, employee resource groups, and volunteer initiatives.
  • Opportunities to contribute to a patient-focused healthcare environment and develop expertise in specialty pharmacy support.