Personal Care Specialist Prior Authorization

2 days ago

Calgary, Alberta, Canada Cencora, Inc. Full-time

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.