Personal Care Specialist

Job description

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. How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1 This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Personal Care Specialist based in Canada. This is a 12-month contract opportunity supporting patients throughout important stages of their healthcare journey.The role focuses on coordinating administrative and insurance-related processes that help patients access specialty medications and services.You will manage prior authorizations, verify coverage, support financial assistance applications, and coordinate pharmacy referrals.The position requires careful documentation, strong attention to privacy, and consistent follow-through on pending cases.You will interact with patients, payers, pharmacies, and internal teams while providing clear updates and escalating complex matters appropriately.Success in this role depends on organization, accuracy, empathy, and the ability to manage multiple healthcare-related priorities.The position offers a meaningful opportunity to contribute to a patient-centered healthcare environment while building specialized experience in healthcare administration.