Personal Care Specialist Prior Authorization
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Prior authorization expertise supports Cencora's Personal Care Specialist contract in Remote, ON, with insurance verification and patient documentation at its center.
This full-time, 12-month contract processes authorization requests and supports patients through specialty pharmacy services. The work includes payer-specific forms, clinical documentation, pharmacy systems, and financial assistance applications. You will also coordinate referrals and escalate complex inquiries.
Key Responsibilities:
- Collect clinical documentation for prior authorization requests
- Complete payer-specific forms using provided templates
- Track submissions and follow up with payers
- Verify insurance coverage and formulary information
- Notify senior staff about delays or denials
Requirements:
- High school diploma, GED, or equivalent experience
- Three-plus years in pharmacy or healthcare administration
- Prior authorization processing experience required
- Associate degree preferred in a related field
- HIPAA or applicable compliance training required
Apply prior authorization, insurance verification, and documentation skills as a Personal Care Specialist supporting Cencora patients remotely.